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Nursing home report

Signature Healthcare of Roanoke Rapids

Roanoke Rapids, NC · Medicare-certified · 108 beds

Needs attention
For-profitChain member
2 of 5 overall

Signature Healthcare of Roanoke Rapids has an overall 2-star rating, with especially weak 1-star health inspection and staffing ratings even though quality measures are 5 stars. Reported nursing staffing is below the federal benchmark (3.31 vs. 4.1 hours per resident per day), and the home had $9,110 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.3067 hrs/resident/day

Quality measures

Last inspection: March 26, 2026Penalties, last 24 months: $9,110recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3067.

Staffing detail

Registered nurses
0.48
Licensed practical nurses
0.67
Nurse aides
2.16
Weekend nursing
2.81

Hours per resident per day.

Total staff turnover: 74%
Registered nurse turnover: 70%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

5.7%Worsening

Residents with a fall causing major injury

0%Steady

Residents with pressure ulcers (bedsores)

10.2%Steady

Residents with a urinary tract infection

0.9%Improving

Residents who lost too much weight

14.7%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

16.3%Worsening

Residents whose ability to walk got worse

28.3%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

12.1%Worsening

Short-stay residents newly given an antipsychotic

2.6%Worsening

Residents with a long-term catheter

0.2%Worsening

Residents with new or worsening incontinence

18.9%Improving

Residents with depressive symptoms

3.1%Steady

Long-stay residents given the seasonal flu vaccine

98.6%Steady

Long-stay residents given the pneumonia vaccine

99.6%Steady

Short-stay residents given the seasonal flu vaccine

97.7%Steady

Short-stay residents given the pneumonia vaccine

96.3%Worsening

What the inspectors found

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2022 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 838 — 42 CFR §483.70 — S/S: F

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $9,110 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $9,110 in total fines.

  • Federal fine

    May 1, 2025

    $9,110

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
Occupancy
76.8 residents on an average day (71% of 108 beds)
Resident voice
Resident council
Medicare history
Certified for 35 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.