829 ROANOKE AVE, Roanoke Rapids, NC 27870
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Signature Healthcare of Roanoke Rapids provides compassionate skilled nursing and rehabilitation care to North Carolina residents ready to regain independence. Our team supports recovery with personalized attention, clinical expertise, and a commitment to helping you return home stronger.
Capacity
108 residents
Location
Roanoke Rapids, NC
Status
Listed in a public registry
305 East Fourteenth Street, Roanoke Rapids, North Carolina 27870
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 7, 2026, state inspectors cited 10 health deficiencies (the North Carolina average is 4.7).
Nurses and nurse aides spend 3 hours 15 minutes with each resident a day, below the North Carolina average of 3 hours 51 minutes.
Medicare fined Signature Healthcare of Roanoke Rapids once in the last three years, $9,110 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 15 minutesBelow the North Carolina average |
| Registered nurse time per resident, per day | 29 minutesBelow the North Carolina average |
| Nursing staff who left in the past year | 67%Above the North Carolina average |
2 administrators have left the home in the past year.
24 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 7, 2026 · Standard inspection · 3 citations
Provide safe and appropriate respiratory care for a resident when needed.
Ensure each resident receives an accurate assessment.
Ensure medication error rates are not 5 percent or greater.
March 26, 2026 · Complaint investigation · 4 citations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that residents are free from significant medication errors.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure each resident receives an accurate assessment.
Dispose of garbage and refuse properly.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assess the resident when there is a significant change in condition
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe and appropriate respiratory care for a resident when needed.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
1 fine totaling $9,110 in the last three years.
305 East Fourteenth StreetRoanoke Rapids, NC 27870
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State inspectors visited on May 7, 2026 and cited 10 health deficiencies, 8 of them from complaint investigations. The North Carolina average is 4.7.
Nurses and aides spend 3 hours 15 minutes with each resident per day, including 29 minutes from registered nurses. 67% of nursing staff left over the past year.
Yes. Medicare fined Signature Healthcare of Roanoke Rapids once in the last three years, totaling $9,110.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.