Guardian Care of Roanoke Rapids
Nursing Home Facility
305 Fourteenth Street, Roanoke Rapids, NC 27870
Guardian Care of Roanoke Rapids is a senior care community located in Roanoke Rapids, NC. It provides nursing home care and senior living for older adults in the Roanoke Rapids area. To learn more or schedule a tour, call (252)537-6181.
Operated by Signature Healthcare, which runs 91 communities in our directory.
With 108 beds, Guardian Care of Roanoke Rapids is one of the larger communities in the area, senior care communities in Roanoke Rapids average about 51 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 76% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2026 and recorded 10 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 67%, which is high and can affect continuity of care.
The community is located in Halifax County, NC.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 24 problems at Guardian Care of Roanoke Rapids. 1 finding involved harm to a resident. 9 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $9,110.
Findings from the most recent inspection cycle
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
-
Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Show 2 more
-
Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure that residents are free from significant medication errors.
-
Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Guardian Care of Roanoke Rapids offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 108
- Occupancy 76%
- Nursing hours per resident/day 3.2
- Annual staff turnover 67%
- Last health inspection May 2026
Resident & family reviews
No one has shared a review of Guardian Care of Roanoke Rapids yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.