Signature Healthcare of Roanoke Rapids
305 East Fourteenth Street, Roanoke Rapids, NC 27870
Roanoke Rapids, North Carolina · CMS verdict
Signature Healthcare of Roanoke Rapids holds a 2 of 5 CMS overall star rating - below the North Carolina state average of 2.9, reflecting below-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Signature Healthcare of Roanoke Rapids in Roanoke Rapids, North Carolina holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 44 of 100 (grade F). The 108-bed facility operates where a semi-private nursing-home room in North Carolina runs a median of $9,733 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 44 is built
Each segment is a dimension's weighted points toward the score, summing to 44.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Signature Healthcare of Roanoke Rapids carries an overall CMS quality rating of 2 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (2/5), staffing (1/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Roanoke Rapids, North Carolina, this facility operates 108 certified beds with an average daily census of roughly 75 residents - an occupancy rate of about 69%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 69% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within North Carolina, Signature Healthcare of Roanoke Rapids is one of 157 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 29% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (21 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Signature Healthcare of Roanoke Rapids compares to North Carolina
CMS five-star sub-ratings (0–5) for this facility against the North Carolina facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Carolina state average. Higher is better on all four CMS measures.
Where Signature Healthcare of Roanoke Rapids ranks in North Carolina
Among the 417 CMS-rated nursing homes in North Carolina, Signature Healthcare of Roanoke Rapids’s 2-star overall rating is higher than 22% of them. The bars show how all North Carolina homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
92 North Carolina homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 108 |
| Residents | 75 |
| Ownership | For profit - Limited Liability company |
| County | Halifax |
| Penalties | 1 |
| Deficiencies | 21 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Signature Healthcare of Roanoke Rapids? ▾
CMS rates Signature Healthcare of Roanoke Rapids at 2 out of 5 stars overall. The three sub-ratings behind that number: health inspection 2/5, staffing 1/5, quality measures 5/5.
How much does a nursing home cost per month in North Carolina? ▾
CareScout's 2025 survey puts North Carolina's median semi-private nursing home rate at $9,733 per month ($116,800 per year), with private rooms averaging $10,798 per month.
What services does Signature Healthcare of Roanoke Rapids offer? ▾
Signature Healthcare of Roanoke Rapids is a skilled nursing facility with 108 beds with approximately 75 current residents. It operates under for profit - limited liability company ownership. The facility has recorded 21 deficiencies and 1 penalties in CMS inspections.
Does Signature Healthcare of Roanoke Rapids have any deficiencies or penalties? ▾
Signature Healthcare of Roanoke Rapids has multiple deficiencies (21 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in North Carolina? ▾
In North Carolina, alternatives include assisted living ($6,496/mo), home health aides ($5,720/mo), and adult day care ($1,831/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the North Carolina elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 345336.
Read our methodology - how this data is sourced, computed, and verified.