Signature Healthcare Of Roanoke Rapids

Name: Signature Healthcare Of Roanoke Rapids: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Roanoke Rapids, Halifax County, North Carolina · CCN 345336 · For-profit (LLC) · part of Signature Healthcare (67 facilities, chain average 3.1 stars)

CMS rates Signature Healthcare Of Roanoke Rapids 2 of 5 overall as of August 2026. 108 certified beds, 82 residents a day on average. 24 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $9,110.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★★☆☆☆ 2 of 5
Health inspections	★★☆☆☆ 2 of 5
Staffing	★☆☆☆☆ 1 of 5
Quality measures	★★★★★ 5 of 5
Quality: long-stay / short-stay	4 / 5 of 5

Staffing

Total nurse staffing	3.24572 hours per resident per day
Registered nurses	0.48818 hours per resident per day
Weekend total	2.67778 hours per resident per day
Nursing staff turnover	66.7% (registered nurses 60%)
Administrators who left	2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-05-07	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-27
2026-05-07	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-27
2026-05-07 complaint survey	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-27
2026-03-26 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-15
2026-03-26 complaint survey	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 · tag F0842	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-15
2026-03-26 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-15
2026-03-26 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-15
2026-03-11 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-31
2025-12-03 complaint survey	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-01-06
2025-12-03 complaint survey	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 · tag F0725	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-01-06
2025-05-01 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Past Non-Compliance 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. Administration Deficiencies · tag F0838	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-01-29
2025-01-08	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-29
2025-01-08	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-01-29
2025-01-08	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-29
2025-01-08	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-01-29
2025-01-08	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0623	B No actual harm, with potential for minimal harm; pattern	Deficient, Provider has plan of correction 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. Nursing and Physician Services Deficiencies · tag F0727	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-11-27
2023-11-09	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0623	B No actual harm, with potential for minimal harm; pattern	Deficient, Provider has plan of correction 2023-11-22

Fines and payment denials

Date	Penalty	Amount
2025-05-01	Fine	$9,110

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Shc Lp Holdings LLC Organization	5% or greater direct ownership interest	100%	2014-08-01
Asbr Holdings LLC Organization	5% or greater indirect ownership interest	—	2018-05-01
Jjla LLC Organization	5% or greater indirect ownership interest	—	2014-08-01
Lpsnf LLC Organization	5% or greater indirect ownership interest	—	2014-08-01
Wheaten LLC Organization	5% or greater indirect ownership interest	—	2014-08-01
Steier III, Elmer Individual	5% or greater indirect ownership interest	—	2014-08-01
Harrison, John Individual	corporate officer	—	2014-08-01
Houston, Ingrid Individual	w-2 managing employee	—	2024-06-11

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Signature Healthcare Of Roanoke Rapids.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Halifax County.