Signature Healthcare of Roanoke Rapids

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

58.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 143 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 67.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 43 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 108 beds and averages 81.8 residents a day — about 76% occupied, or roughly 26 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.25 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.19 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.68 hrs/resident/day on weekends vs 3.47 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.58 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.

• Actual harm · G2025-05-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident interview, staff interview, and nurse consultant interview, the facility failed to perform a transfer from the wheelchair to the bed according to the care plan for one (Resident #1) of three residents reviewed for accidents. Resident #1 sustained a left leg fracture above the knee with extreme pain requiring a visit to the emergency room at the hospital after being transferred without a mechanical lift. Findings included: Resident #1 had resided in the facility since 7/17/2019 and had multiple diagnoses some of which included cerebral vascular accident, hemiplegia, hemiparesis, heart failure, and diabetes mellitus. Documentation on a quarterly Minimum Data Set assessment dated [DATE] revealed that Resident #1 was coded as cognitively intact and dependent on staff for a chair-to-bed transfer. On the same assessment, she was also coded as having a range of motion impairment on one side of her upper and lower extremities. Documentation on the care plan initiated on 5/6/2024 under…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Dcited before2026-05-07 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews the facility failed to accurately code the Minimum Data Set (MDS) assessment in the area of the use of an anticoagulant medication for 1 of 30 residents whose MDS assessments were reviewed (Resident #17).The findings included:Resident #17 was admitted to the facility on [DATE] with diagnoses which included cerebrovascular accident (CVA). Resident #17 had an active physician order dated 4/17/26 for dabigatran (an anticoagulant medication) 150 milligram (mg) capsule; give one capsule twice a day by mouth. The order was noted as on hold for 4/18/26 and 4/19/26. The Medication Administration Record for April 2026 revealed the anticoagulant medication was administered to Resident #17 as ordered twice a day on 4/20/26, 4/21/26, 4/22/26, and 4/23/26. The Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #17 was not coded for the use of an anticoagulant medication during the 7-day look back period. A telephone interview was conducted with MDS Nurse #2…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-07 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews the facility failed to post cautionary and safety signs indicating the use of supplemental oxygen for 2 of 3 residents reviewed for respiratory care (Resident #1 and Resident #17). The findings included:During the survey entrance conference with the Administrator on 5/04/26 at 10:10 am the Administrator reported the facility was a smoking facility.1. Resident #1 was admitted to the facility on [DATE] with diagnoses which included chronic obstructive pulmonary disease and dependence on supplemental oxygen. Resident #1 had a physician order dated 4/21/26 for oxygen therapy; oxygen via nasal cannula (NC) at 3 liters per minute continuous every shift for hypoxia (low levels of oxygen in the body tissue). Resident #1's census history revealed a room change had occurred on 4/26/26.Observations were conducted on 5/04/26 at 10:46 am and 2:37 pm of Resident #1. Resident #1 was observed in bed with supplemental oxygen in place. Resident #1 did not have the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-07 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, manufacturer recommendations, and staff interviews, the facility failed to have a medication error rate of less than 5% as evidenced by 3 medication errors out of 39 opportunities, resulting in a medication error rate of 7.69% for 2 of 4 residents observed during the medication administration observations (Resident #6 and Resident #26).The findings included:1. Resident #26 was admitted to the facility on [DATE] with diagnoses that included vitamin D deficiency and hyperlipidemia (condition of high cholesterol or fats in the blood).A review of Resident #26's current physician's orders revealed a medication order was initiated on 3/25/26 for cholecalciferol (a vitamin supplement to replace Vitamin D) 25 micrograms (mcg) one tablet by mouth one time a day for vitamin deficiency and a medication order initiated on 3/25/26 for fenofibrate 40 milligram (mg) to be given as one tablet by mouth one time a day for hyperlipidemia (condition of high cholesterol or fats in the blood).A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-26 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews with resident, staff, and pharmacist the facility failed to ensure the accurate documentation and administration of controlled medications (Residents # 1 and # 4) and that the facility's system to account for controlled medications was being followed between shift change and upon receipt and removal of controlled medications in sufficient detail to enable an accurate reconciliation. This was for 3 of 3 sampled residents whose controlled drug records were reviewed for accurate documentation of administration and removal from locked storage (Residents # 1, # 2, and # 4) and for 1 of 1 unit's records reviewed for accounting of controlled medications at shift change and upon receipt or return of controlled medications.The findings included:1. Record review revealed Resident # 1 was admitted to the facility on [DATE] at 6:53 PM and resided there until his discharge on [DATE]. Resident # 1 had diagnoses which included but were not limited to the following: Stage IV basal cell…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-26 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to ensure the accuracy and completeness of documentation related to bowel movements and/or medication administration. This was for 2 of 4 residents whose medical records were reviewed for documentation of bowel movements and/or medication administration (Residents # 1 and # 4). The findings included:1a. Resident # 1 was admitted to the facility on [DATE] with a diagnosis of Stage IV basal cell carcinoma.A review of Resident # 1's bowel movements which were documented in the resident's medical record revealed three bowel movements during Resident # 1's nineteen-day residency of 3/5/26 through 3/18/26. A medium bowel movement was documented on 3/6/26, a small bowel movement on 3/13/26, and a small bowel movement on 3/18/26.Nurse # 1 was interviewed on 3/24/26 at 1:52 PM and reported the following information. She had routinely cared for Resident # 1, and the medical record was not accurate in reflecting the number of bowel movements Resident # 1 had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with family member and staff, the facility failed to ensure transportation was arranged for a resident's follow-up appointments following his discharge from the hospital and subsequent admission to the facility for his medical care. This was for 1 of 3 residents reviewed for professional standards of practice (Resident # 1).The findings included:Record review revealed Resident # 1 was hospitalized from [DATE] to 3/5/25 and then admitted to the facility on [DATE] with a diagnosis of Stage IV basal cell carcinoma with metastatic disease to the lung and bone. Additionally Resident # 1 had a diagnosis of Stage IV Kidney disease.Review of Resident # 1's hospital Discharge summary dated [DATE] revealed it included information that Resident # 1 had diagnostic and physician appointments scheduled related to his cancer and kidney disease diagnosis for 3/18/26. The first appointment was scheduled at 7:00 AM on 3/18/26 and subsequent appointments had designated times already arranged…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-26 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with staff, family member, and Wound Nurse Practitioner (NP), the facility failed to ensure a resident diagnosed with cancer was administered pain medication when the resident requested. This was for 1 of 3 sampled residents reviewed for pain (Resident # 1).The findings included:Record review revealed Resident # 1 was admitted to the facility on [DATE] at 6:53 PM and resided there until his discharge on [DATE]. Resident # 1 had diagnoses which included stage IV basal cell carcinoma with metastatic disease to the lung and bone, open malignant wound to the posterior left shoulder, neuropathy, and a history of cervical and thoracic spine surgery.Review of physician orders revealed Resident # 1 had orders dated 3/6/26, for hydrocodone (opioid pain medication) 5-325 mg (milligrams) every four hours as needed for pain, oxycodone (opioid pain medication) 10 mg every six hours as needed for pain, and gabapentin (medication used for neuropathic pain) 800 mg three times per day.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff, Resident Representative (RR), Nurse Practitioner (NP), and physician interviews, the facility failed to obtain a STAT (immediate or rapid response) mobile x-ray exam when Resident #1 fell and experienced left leg pain for 1 of 3 residents reviewed for falls.Findings included:Resident #1 was admitted to the facility most recently on 02/03/26 with diagnoses that included, in part: End stage renal disease, primary pulmonary hypertension (admission diagnosis), chronic obstructive pulmonary disease, chronic respiratory failure, dependence on renal dialysis, congestive heart failure, paroxysmal atrial fibrillation, sick sinus syndrome, presence of cardiac pacemaker, essential primary hypertension, Type 2 Diabetes Mellitus, poly osteoarthritis, unsteadiness on feet, difficulty in walking, muscle weakness, and limitation of activities due to disability. Review of an admission Minimum Data Set assessment dated [DATE] revealed Resident #1 had severely impaired cognition. She could be…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-03 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff, resident, and Medical Director interviews, the facility failed to administer doses of scheduled rapid-acting insulin due to a staffing issue (Resident #1 and Resident #3) and failed to follow up with a pulmonary consultation recommendation to discontinue a steroid medication (Resident #2) for 3 of 3 residents reviewed for significant medication error. The findings included:1a. Resident # 1 was admitted to the facility on [DATE] with diagnoses which included diabetes. Resident #1 had an active physician order dated 9/16/24 for insulin aspart (rapid-acting insulin) 100 units per milliliter (mL). Administer subcutaneous (under skin) as directed three times a day (8:00 am-11:00 am, 11:15 am-3:00 pm, and 5:00 pm-7:00 pm). Give 15 minutes after each meal: 0 units if no food is eaten, 2 units if 25% of meal eaten, 4 units if 50% of meal eaten, 6 units if 100% of meal eaten. The physician order also included to record the blood sugar before insulin was administered. The Minimum Data…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-03 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with resident and staff, the facility failed to ensure sufficient nursing staff to provide nursing services to residents when 2 of 3 assigned staff members (Medication Aide #2 and Unit Manager #1) did not report to work as scheduled. This deficient practice resulted in significant medication not being administered as ordered for 2 of 3 residents reviewed for significant medication error (Resident #1 and Resident #3). The findings included:a. Resident #1 was admitted to the facility on [DATE] with diagnoses which included diabetes. The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #1 was cognitively intact and was coded for hypoglycemic medication which included insulin.The Medication Administration Record (MAR) was reviewed for 8/14/25 and revealed Resident #1 was not administered the scheduled morning dose of insulin aspart (rapid-acting insulin). The MAR administration note, written by Nurse #1, revealed the medication was not administered due…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$9,110 in federal fines across 1 penalty.

• $9,110 — penalty dated 2025-05-01

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to SIGNATURE HEALTHCARE — 67 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC