Nursing homes › North Carolina › Signature Healthcare of Roanoke Rapids
305 East Fourteenth Street, Roanoke Rapids, NC 27870 · 2525376181 · 108 certified beds
Per CMS filings, this facility is affiliated with Signature Healthcare, a group operating 68 facilities in 6 states. Group record: average rating 3.1/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $1,138,342 in federal fines. This facility rates below its group average (3.1/5).
Total nurse staffing: 3.25 (North Carolina median: 3.53). RN hours: 0.49. Weekend total: 2.68. Nursing staff turnover: 67%.
All-time on record: 24 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-07 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-05-27 |
| 2026-05-07 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-05-27 |
| 2026-05-07 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2026-05-27 |
| 2026-03-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2026-04-15 |
| 2026-03-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-04-15 |
| 2026-03-26 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-04-15 |
| 2026-03-26 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2026-04-15 |
| 2026-03-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-03-31 |
| 2025-12-03 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2026-01-06 |
| 2025-12-03 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | complaint | corrected 2026-01-06 |
| 2025-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-04-04 |
| 2025-01-08 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Health | corrected 2025-01-29 |
| 2025-01-08 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2025-01-29 |
| 2025-01-08 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Health | corrected 2025-01-29 |
| 2025-01-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-01-29 |
| 2025-01-08 | Dispose of garbage and refuse properly. | E | Health | corrected 2025-01-29 |
| 2025-01-08 | Assess the resident when there is a significant change in condition | D | Health | corrected 2025-01-29 |
| 2025-01-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-01-29 |
| 2025-01-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-01-29 |
| 2025-01-08 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2025-01-29 |
| 2025-01-08 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Health | corrected 2025-01-29 |
| 2023-11-09 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Health | corrected 2023-11-27 |
| 2023-11-09 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2023-11-27 |
| 2023-11-09 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Health | corrected 2023-11-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-01 | Fine | $9,110 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| SHC LP HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/01/2014 |
| ASBR HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2018 |
| JJLA LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2014 |
| LPSNF LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2014 |
| WHEATEN LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/01/2014 |
| STEIER III, ELMER | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 08/01/2014 |
| HARRISON, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 08/01/2014 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345336. Corrections: data@carerecords.org.