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
Nursing home report
Signature Healthcare of Roanoke Rapids
Roanoke Rapids, NC · Medicare-certified · 108 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Signature Healthcare of Roanoke Rapids has a 2-star overall rating, with a 1-star staffing score and nurse staffing below the federal benchmark (3.25 vs. 4.1 hours per resident per day). It also has a recent federal penalty, $9,110 in fines over the last 24 months, and health inspection issues despite a 5-star quality measure rating.
Facility ratings
Health inspections
Staffing
3.2457 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $9,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2457.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.56
- Nurse aides
- 2.19
- Weekend nursing
- 2.68
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.1%6.2%No change
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
10.3%13.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
12.5%21.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.7%9.8%Improving
Residents whose ability to walk got worse
—21.7%—
Long-stay residents on antianxiety or sleep medication
10%20%Worsening
Short-stay residents newly given an antipsychotic
2.2%2%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.8%17.8%Worsening
Residents with depressive symptoms
3.4%1.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.6%—
Long-stay residents given the pneumonia vaccine
98.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—97.7%—
Short-stay residents given the pneumonia vaccine
98.6%90%Worsening
What the inspectors found
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
The nursing home failed to ensure residents were free from significant medication errors. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $9,110 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $9,110 in total fines.
- $9,110
Federal fine
May 1, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SIGNATURE HEALTHCARE · 68 homes · 3.1 stars avg
- Occupancy
- 81.8 residents on an average day (76% 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.