Signature Healthcare Of Roanoke Rapids
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.
Inspection Findings
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.