Home / North Carolina / Kinston
Signature Healthcare of Kinston
907 Cunningham Road, Kinston, NC 28501 · Lenoir County · (252) 527-5146
106 certified beds, about 94 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345365 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 9, 2025, inspectors cited 8 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 20 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.73 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
46.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
607/23
610/24
812/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
3E
1F
Potential for minimal harm
0A
2B
0C
December 9, 2025Standard inspection, Complaint inspection · 8 citations
- F Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observations, record review, and interviews with staff, the facility failed to provide 1 of 3 meals observed at the regular scheduled times (lunch 12/01/25). The lunch meal was served 2 hours after the posted mealtimes to the dining room and all 5 halls.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interviews with staff, the facility failed to protect a resident's right to be free from verbal abuse by staff for 1 of 5 residents reviewed for abuse (Resident #101).
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review, observations, and resident, staff and Medical Director interviews, the facility failed to protect a resident's right to be free from misappropriation property and exploitation for 2 of 6 residents (Resident #103 and Resident #4) reviewed for abuse, neglect and/or misappropriation of property/exploitation. (1) In November 2024, Resident #103 reported her debit card account had been depleted to $9.34 after giving Nurse Aide (NA) #3 her debit card to pay her (NA #3's) light bill. The unauthorized spending to Resident #103's debit card totaled $2265.15. (2) In July 2025, NA #2 told Resident #4 she needed money to feed her children and Resident #4 gave NA #2 $65 dollars and was not reimbursed by the facility.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and staff interviews, the facility failed to report allegations of abuse and misappropriation of property/exploitation to Adult Protective Services (APS) for 3 of 6 residents reviewed for abuse, neglect, misappropriation of property and/or exploitation (Resident #103, Resident #101 and Resident #74).
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interviews, the facility failed to submit a request for an evaluation for a Level II Preadmission Screening and Resident Review (PASRR) for a resident who was admitted to the facility with serious mental health diagnoses for 1 of 1 resident reviewed for PASRR (Resident #18).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, and staff and Medical Director interview, the (a) facility failed to ensure that required emergency tracheostomy (trach) equipment, including an Ambu bag (self-inflating bag that pushes air into lungs), was kept at the bedside as ordered and as required by facility policy and (b) failed to ensure infection-control practices were followed during tracheostomy care for 1 of 2 residents reviewed for tracheostomy care (Resident #8).
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observations, record reviews, and interviews with staff, the facility failed to follow the approved menu for 1 of 7 residents on a pureed diet (Residents #80).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the physician's documented gradual dose reduction (GDR) as clinically contraindicated on the Minimum Data Set (MDS) assessment for 1 of 31 residents reviewed for MDS assessment accuracy (Resident #4).
October 17, 2024Standard inspection, Complaint inspection · 6 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, observations, resident Interview and staff interviews, the facility failed to accurately code the Minimum data Set (MDS) assessment in the areas of medications, smoking, elimination and behaviors for 4 of 28 residents whose MDS assessments were reviewed (Resident #14, #17, #13, and #33).
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on record review, observations, resident interview and staff interviews, the facility failed to assess the ability of a resident to self-administer medications prior to leaving the resident's medications on the overbed table in the resident's room for 1 of 1 resident reviewed for pharmacy services (Resident #18). Resident #18 indicated she could not take a lot of medications together at one time and the medications were left on her overbed table to take when she wanted to.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and staff interviews, the facility failed to provide the required Centers for Medicare and Medicaid Services (CMS) Notice of Medicare Non-Coverage (NOMNC) (form 10123) and the and failed to provide a Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (ABN) for 1 of 3 residents reviewed for beneficiary protection notification review (Resident #75).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and resident and staff interviews the facility failed to refer a resident with a new diagnosis of mental illness for a Preadmission Screening and Resident Review (PASARR) evaluation for 1 of 1 resident reviewed for PASARR (Resident #33).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, observation and staff interviews, the facility failed to complete an accurate medical record in documenting the administration of medication for 1 of 29 residents whose medical records were reviewed (Resident #18).
- B Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, resident and staff interviews, the facility failed to provide maintenance to the bathroom door and keep the grout on the floor at the base of the bathroom doorway clean from buildup of debris for 1 of 2 resident rooms (Resident #63's room) reviewed for environment.
July 13, 2023Standard inspection · 6 citations
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review, resident interviews and staff interviews, the facility failed to implement their abuse policy and procedure in the following areas: administration reporting allegations of abuse within two hours to the state agency from the time of notification of the alleged abuse incident (Resident #76 and Resident #40) and completing a thorough investigation that included assessments of all residents for abuse and statements from all residents and involved staff for an allegation of abuse (Resident #40, Resident #7, and Resident #15) for 4 of 7 residents reviewed for abuse.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to maintain a medication storage refrigerator within the recommended temperature range and failed to discard outdated ophthalmic solution bottles for 2 of 3 medication storage areas reviewed (#1 Medication Room and Medication Cart #2).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment for 1 of 1 resident whose MDS was reviewed for the use of restraints (Resident #61).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interviews, the facility failed to follow a physician's order to call the physician for a blood glucose reading greater than 550 for two incidents of a high blood glucose reading on 6/25/2023 and to obtain physician orders to administration insulin coverage for the high glucose readings for 1 of 2 residents reviewed for the use of insulin. (Resident #82)
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, the facility failed to discard expired chocolate milk cartons from the walk-in refrigerator. On 7/10/2023, expired chocolate milk cartons dated 7/9/2023 were observed on 2 of 2 resident's breakfast meal trays (Resident #56 and Resident #22) when breakfast meal trays were returned to the kitchen. This practice had the potential to cause food borne illness.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record review and staff interview the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and monitor interventions that the committee had previously put in place following the recertification and complaint investigation survey of 5/24/22. The deficiency is in the area of food procurement, storage and preparation (F812). The continued failure during two federal surveys showed a pattern of the facility's inability to sustain an effective Quality Assurance Program.
Fire safety inspections
19 fire safety citations on file: 9 on October 17, 2024, 5 on July 13, 2023, 5 on May 24, 2022.
Every fire safety citation19 citations
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Install proper backup exit lighting.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- D Use approved construction type or materials.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D Have properly installed electrical wiring and gas equipment.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.73 | 3.85 | 3.86 |
| Registered nurses | 0.52 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.42 | 3.42 |
| Nurse aides | 2.33 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 46.7% | 49.0% | 45.8% |
| Registered nurse turnover | 50.0% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.06 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.94 on weekdays and 3.22 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 3.73 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.73 | 0.52 | 3.94 | 3.22 | 0.0% | 0 of 90 | 94 |
| Oct to Dec 2025 | 3.73 | 0.46 | 3.97 | 3.13 | 0.0% | 1 of 92 | 90 |
| Jul to Sep 2025 | 3.90 | 0.42 | 4.15 | 3.27 | 0.0% | 1 of 92 | 87 |
| Apr to Jun 2025 | 3.91 | 0.44 | 4.15 | 3.31 | 2.0% | 0 of 91 | 89 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.2 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.3 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.4 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.4 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 1.8 | 1.8 |
Owners and operators
Legal business name: LP KINSTON LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shc LP Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 08/01/2014 |
| Asbr Holdings LLC | 5% or greater indirect ownership interest | Organization | 05/01/2018 | |
| Jjla LLC | 5% or greater indirect ownership interest | Organization | 08/01/2014 | |
| Lpsnf LLC | 5% or greater indirect ownership interest | Organization | 08/01/2014 | |
| Wheaten LLC | 5% or greater indirect ownership interest | Organization | 08/01/2014 | |
| Steier III, Elmer | 5% or greater indirect ownership interest | Individual | 08/01/2014 | |
| Jones, Steven | W-2 managing employee | Individual | 09/19/2023 | |
| Harrison, John | Corporate officer | Individual | 08/01/2014 | |
| Signature Healthcare LLC | Operational/managerial control | Organization | 08/01/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on December 9, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on December 9, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 9, 2025: "Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on October 17, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.22 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Harmony Hall Nursing and Rehabilitation Center Kinston, 1.9 mi · 4 of 5 stars · 21 citations
- Nc State Veterans Home-Kinston Kinston, 3.4 mi · 2 of 5 stars · 10 citations
- Greendale Forest Nursing and Rehabilitation Center Snow Hill, 11.3 mi · 1 of 5 stars · 20 citations
- Ayden Court Nursing and Rehabilitation Center Ayden, 14 mi · 1 of 5 stars · 23 citations
- Pruitthealth-Farmville Farmville, 19.8 mi · 3 of 5 stars · 20 citations
- Macgregor Downs Health Center by Harborview Greenville, 23.4 mi · 2 of 5 stars · 25 citations
- Willow Creek Nursing and Rehabilitation Center Goldsboro, 23.6 mi · 2 of 5 stars · 24 citations
- Greenville Health and Rehabilitation Center Greenville, 24 mi · 1 of 5 stars · 29 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Signature Healthcare of Kinston's Medicare star rating?
- CMS rates Signature Healthcare of Kinston 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Signature Healthcare of Kinston get at its last inspection?
- 8 health deficiencies at the standard inspection on December 9, 2025. The North Carolina average is 4.7.
- Has Signature Healthcare of Kinston been fined?
- CMS lists no fines in the last three years.
- Does Signature Healthcare of Kinston accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Signature Healthcare of Kinston?
- CMS lists 9 owners and managers, and links the home to Signature Healthcare. Legal business name: LP KINSTON LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.