Signature Healthcare of Roanoke Rapids
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 61 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 4.0)
- High staff turnover (71%)
- High RN turnover (60%)
Below average in NC · Critically understaffed (RN) · Very high staff turnover · Below chain average · $9,110 in fines
What this means for your family
Recent leadership changes appear to have positively impacted the facility's cleanliness and atmosphere, but critical safety concerns regarding call bell response times persist. If you are considering this facility, we strongly recommend visiting during off-hours or weekends to observe staffing levels firsthand and asking specifically about their protocol for monitoring residents at high risk for medical complications.
Google Reviews
Google Reviews
61 reviews on Google“Signature Healthcare of Roanoke Rapids receives highly polarized reviews, with recent feedback highlighting a significant improvement in leadership and facility atmosphere under new management. While many families praise specific staff members for their kindness and dedication, others report critical failures in basic care, including long response times for call bells and serious medical complications like sepsis. Families should weigh the recent positive reports of a cleaner, more attentive environment against historical and ongoing concerns regarding staffing levels and patient safety.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated and compassionate nursing staff
- Improved facility cleanliness and odor control
- Strong rehabilitation and therapy programs
- Engaging activities and quality of life programming
Concerns
- Slow or non-existent response to call bells (mentioned by 5 reviewers)
- Understaffing leading to neglect (mentioned by 4 reviewers)
- Poor communication and difficulty reaching staff (mentioned by 3 reviewers)
- Inadequate medical care or hygiene assistance (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 64 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed you have a very high response rate to online feedback; how do you use that input to improve daily operations and communication with families?
- 2Given that staffing levels are a top priority for families, what specific steps is the facility taking to ensure call bells are answered promptly and consistently?
- 3Can you walk me through the process for medication management and how you ensure accuracy for residents with complex health needs?
- 4I’ve read great things about your therapy programs; how do you integrate those rehabilitation goals into the residents' daily activity schedules?
- 5What protocols do you have in place to ensure that hygiene assistance and personal care needs are met consistently throughout the day and night?
- 6How do you keep family members updated on changes in a resident's health status, and who is the primary point of contact for these communications?
Personalized based on this facility's data
Key Review Excerpts
“The building is spotless, the receptionist desk is manned, employees are doing their jobs, and the atmosphere is much more professional.”
“My mom wasn't even there for a week before I requested to transfer her to home health. Before that could be done, she was back in the hospital lethargic with sepsis.”
“The administrator Levonia has worked very hard to get this facility back where it needs to be. Her new DON Stacy is absolutely amazing and I have seen her in action right on that floor with her staff.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced families filing complaint reports that led to findings about medication management, nursing staffing, and safety supervision issues. The 29 deficiencies span recurring problems with resident assessment and care planning, medication management, and facility safety systems. While all violations show correction dates, the pattern of complaint-triggered deficiencies and repeated issues across multiple surveys suggests families should carefully evaluate care quality and ask specific questions about staffing levels and medication safety protocols during visits.
Mar 26, 2026Complaint4
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
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
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Mar 11, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 3, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
May 1, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 8, 2025Routine13
Administration Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Construction Deficiencies
Use approved construction type or materials.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nov 9, 2023Routine7
Nursing and Physician Services Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Federal Penalties
Fine
May 1, 2025
$9,110
Ownership & Operations
Who Operates This Facility
Signature Healthcare of Roanoke Rapids
for profit
Chain Affiliation
Signature Healthcare
68 facilities nationwide
Chain avg rating: 3.0/5 · Rank 48 of 70
Ownership & Management
Owners
Shc Lp Holdings LLC
Owner · Organization
Asbr Holdings LLC
Owner (parent company) · Organization
Jjla LLC
Owner (parent company) · Organization
Lpsnf LLC
Owner (parent company) · Organization
Wheaten LLC
Owner (parent company) · Organization
Steier III, Elmer
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
61 reviews from families & visitors
Official Website
Visit shcofroanokerapids.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.