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Complaint Investigation

Signature Healthcare Of Roanoke Rapids

March 26, 2026 · Roanoke Rapids, NC · 305 East Fourteenth Street
Citations 4
CMS Rating 2/5
Beds 108
Provider ID 345336
Healthcare Facility
Signature Healthcare Of Roanoke Rapids
Roanoke Rapids, NC  ·  View full profile →
Inspection Summary

Signature Healthcare of Roanoke Rapids in Roanoke Rapids, NC — inspection on March 26, 2026.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0658
Resident Assessment and Care Planning Deficiencies

According to an interview with the Corporate Nurse Consultant on

emergency and was not available for interview.

345336 03/26/2026

Signature Healthcare of Roanoke Rapids 305 East Fourteenth Street Roanoke Rapids, NC 27870

DON had been aware of the situation and had taken care of it.

345336 03/26/2026

Signature Healthcare of Roanoke Rapids 305 East Fourteenth Street Roanoke Rapids, NC 27870

During an interview with the DON (Director of Nursing) on 3/24/26 at 7:10 PM, the DON reported the following.

She would expect that the documentation of removal of controlled substances from locked storage should coincide with documentation of administration to a resident on the MAR.

345336 03/26/2026

Signature Healthcare of Roanoke Rapids 305 East Fourteenth Street Roanoke Rapids, NC 27870

oxycodone on the resident's MAR in the resident's record.Interview with the interim Administrator on

was admitted to the facility on [DATE] and had a diagnosis of vertebrae osteomyelitis (bone

every twelve hours.

Resident # 4 also had an order, dated 2/6/26, for oxycodone 5 mg every six hours as needed for breakthrough pain. A review of Resident # 4's March 2026 Medication Administration Record (MAR) and Oxycontin Controlled Drug Record revealed on 3/2/26 Nurse # 13 initialed Resident # 4 received his Oxycontin scheduled 10:00 AM dose.

Nurse # 13 was interviewed on 3/25/26 at 1:30 PM and reported the following information.

She had not administered the 10:00 AM dose of Oxycontin to Resident #4 on 3/2/26 because the resident appeared sedated.

She explained she had already signed on the MAR before she determined it needed to be held and not administered.

Nurse # 13 indicated she was new to the facility's electronic medical system and had been unsure of how to correct the MAR to reflect that the dose of Oxycontin was not actually administered.

Therefore, Nurse # 13 validated the medical record was not accurate.

Interview with the interim Administrator on 3/26/26 at 3:50 PM revealed she expected that medical records would be complete regarding the administration of controlled medications.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Roanoke Rapids, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Signature Healthcare of Roanoke Rapids or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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