Signature Healthcare of Kinston
907 Cunningham Road, Kinston, NC 28501 · Lenoir County · 106 certified beds · avg 94 residents/day · certified since May 2, 1991
Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 9, 2025 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 9, 2025 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Dec 9, 2025 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 17, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Oct 17, 2024 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jul 13, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 13, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 6 | 0 | E |
| 2025 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.52 | 4.01 | 3.95 | bottom 38% in North Carolina; bottom 38% in the U.S. |
| Registered Nurse hours | 0.49 | 0.64 | 0.69 | bottom 43% in North Carolina; bottom 37% in the U.S. |
| Weekend total nurse staffing | 3.04 | 3.56 | 3.50 | bottom 31% in North Carolina; bottom 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.41 | 0.48 | top 30% in North Carolina; top 42% in the U.S. |
| Total nursing staff turnover (%) | 46.7 | 49.0 | 45.8 | top 45% in North Carolina; bottom 45% in the U.S. |
| RN turnover (%) | 50.0 | 45.7 | 42.9 | bottom 45% in North Carolina; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.73, RN 0.52, weekend 3.22. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Asbr Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2018 |
| Jjla LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/01/2014 |
| LPSNF LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/01/2014 |
| SHC LP Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2014 |
| Steier III, Elmer | Individual | 5% or Greater Indirect Ownership Interest | — | 08/01/2014 |
| Wheaten LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 08/01/2014 |
| Harrison, John | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2014 |
| Jones, Steven | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/19/2023 |
| Signature Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Harmony Hall Nursing and Rehabilitation Center | 1.9 mi | Kinston, NC | ★★★☆☆ | 3/5 | |
| NC State Veterans Home-Kinston | 3.4 mi | Kinston, NC | ★★☆☆☆ | 2/5 | |
| Greendale Forest Nursing and Rehabilitation Center | 11.3 mi | Snow Hill, NC | ★☆☆☆☆ | 2/5 | |
| Ayden Court Nursing and Rehabilitation Center | 14.0 mi | Ayden, NC | ★☆☆☆☆ | 1/5 | |
| Pruitthealth-Farmville | 19.8 mi | Farmville, NC | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345365.