Pelican Health Randolph: Call System Failures - NC
During a complaint inspection completed September 17, 2025, inspectors cited the Charlotte facility for failing to maintain working call systems in resident bathrooms and bathing areas. The deficiency was one of 15 violations documented during the visit.
The citation falls under the environmental deficiency category, and inspectors classified it at scope and severity level D, meaning the problem was isolated and caused no documented actual harm. But the potential for more than minimal harm was enough to trigger a formal deficiency. In a nursing home population, where residents are frequently elderly, mobility-limited, and at elevated risk for falls, a non-functioning call system in a bathroom is not a minor inconvenience.
Bathrooms are among the most dangerous spaces in any care facility. Wet floors, grab bars that residents must reach for, the physical effort of transferring from a wheelchair or standing from a toilet — each moment carries real risk. The call system is the last safeguard when something goes wrong. Without it, a resident who falls, loses consciousness, or becomes suddenly ill has no way to summon help unless someone happens to check on them.
The inspection report does not specify how many bathrooms were affected, how long the systems had been non-functional, or whether any residents had experienced difficulty as a result. What it documents is that the problem existed, that inspectors found it during a complaint-driven visit, and that it was serious enough to cite.
Pelican Health Randolph reported a correction date of October 17, 2025, one month after the inspection.
The facility was not cited for this violation alone. Fourteen other deficiencies were documented during the same inspection, though the details of those citations were not included in this report. Fifteen deficiencies in a single inspection is a substantial finding for any facility. Each one represents an area where inspectors determined the home fell short of standards designed to protect some of the most vulnerable people in its care.
Nursing home residents in North Carolina, as elsewhere, often have limited ability to advocate for themselves. Many have cognitive impairment, communication difficulties, or physical limitations that make it harder to report problems or seek help when something in their environment fails. A call system that doesn't work in a bathroom is precisely the kind of failure that a resident may not be able to report, and that staff may not discover until something goes wrong.
The inspection was complaint-driven, meaning someone, whether a resident, a family member, or a staff member, contacted regulators before inspectors arrived. The nature of the original complaint is not detailed in the inspection summary.
Facilities inspected in response to complaints are often found to have problems beyond whatever triggered the initial call. That was the case here. Inspectors arrived to investigate a specific concern and left with fifteen citations on the books.
Whether the call system failures were confined to a single bathroom or spread across multiple areas of the building, the inspection report does not say. What it does say is that in a facility responsible for the around-the-clock care of residents who depend entirely on staff to respond when they need help, the mechanism for summoning that help was not reliably in place.
For a resident sitting alone in a bathroom, that gap is not abstract.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pelican Health Randolph LLC from 2025-09-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 18, 2026 · Our methodology
Pelican Health Randolph LLC in Charlotte, NC was cited for violations during a health inspection on September 17, 2025.
The deficiency was one of 15 violations documented during the visit.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.