Nursing home
Signature Healthcare of Roanoke Rapids
305 East Fourteenth Street, Roanoke Rapids, NC 27870 · Map
For profit - Limited Liability company · Part of Signature Healthcare (71 facilities) · 108 certified beds
Signature Healthcare of Roanoke Rapids is a Medicare-certified nursing home in Roanoke Rapids, North Carolina. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.22 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Jan 8, 2025 cited 13 deficiencies.
- 1 fine totaling $9,110In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Signature Healthcare of Roanoke Rapids compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.22 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.36 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.01 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 71.3% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 13.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $9,110, 1 total penalty.
What inspectors found at Signature Healthcare of Roanoke Rapids
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 11, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 3, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Dec 3, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 8, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 305 East Fourteenth Street
Roanoke Rapids, NC 27870 - CMS certification #
- 345336
- Ownership
- For profit - Limited Liability company
- Certified beds
- 108
- Avg residents/day
- 75.3
- Provider type
- Medicare and Medicaid
- First certified
- 1990-12-05
- Chain
- Signature Healthcare (71 facilities)
- Setting
- Rural
Part of Signature Healthcare
Signature Healthcare operates 71 nursing facilities across the United States. View all Signature Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Signature Healthcare of Roanoke Rapids using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ecu Health North Hospital, Roanoke Rapids. 2.6 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Liberty Commons Nursing and Rehabilitation Center, Weldon. 3.5 miles away, straight line.
- Nearest home health agency office
- Liberty Home Care Vi, LLC, Roanoke Rapids. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Futrell Pharmacy. 13.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27870 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Bma Of Roanoke Rapids Inc, Roanoke Rapids, 2.6 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 27870.
Community Home Care & Hospice, office in Roanoke Rapids, 1.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Liberty Home Care Vi, LLC, office in Roanoke Rapids, 1.3 miles away, straight line - Nearest geriatric medicine practice
- Triangle Geriatric And Memory Clinic PLLC, Raleigh. 64.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Signature Healthcare of Roanoke Rapids a good nursing home?
CMS gives Signature Healthcare of Roanoke Rapids an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Signature Healthcare of Roanoke Rapids staffed?
Signature Healthcare of Roanoke Rapids reports 3.22 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Signature Healthcare of Roanoke Rapids had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Signature Healthcare of Roanoke Rapids have?
Signature Healthcare of Roanoke Rapids is certified for 108 beds.