Pelican Health Randolph: Foot Care Failures Cited - NC
The September 17 complaint inspection found the facility had failed to provide appropriate foot care to residents, a violation recorded under the quality of life and care category. Inspectors classified it as an isolated deficiency with no documented actual harm, but with the potential for more than minimal harm. That distinction matters. In a nursing home population, where residents frequently have diabetes, circulatory disease, or limited mobility, neglected feet can move from uncomfortable to infected to amputated in a matter of weeks.
The inspection was triggered by a complaint, not a routine visit. That means someone, a resident, a family member, or a staff member, had already raised a concern serious enough to bring investigators through the door before the findings were ever written down.
Foot care is not a complicated intervention. It is clipping nails, examining skin for sores or cracks, keeping feet clean and dry, and making sure shoes fit. It is the kind of task that falls to nursing assistants on a daily basis and to licensed nurses during regular assessments. When it doesn't happen, the gap usually points to something larger, understaffing, missed assessments, or care plans that exist on paper but not in practice.
Pelican Health Randolph reported a correction date of October 17, 2025, exactly one month after the inspection. Whether the correction addressed the root cause or simply closed the paperwork loop is not something the inspection report answers.
The foot care finding was one of 15 total deficiencies cited during the same visit. The inspection report does not detail the other 14, but 15 deficiencies in a single complaint inspection is a significant number. A complaint inspection is already a focused visit, narrower in scope than a full annual survey. Finding 15 problems during that kind of targeted review suggests inspectors were encountering issues beyond whatever specific concern had prompted the complaint in the first place.
Scope and severity ratings in CMS inspections run from A to L, with D representing isolated deficiencies that carry potential for harm without documented actual harm. The foot care violation landed at D. That is not the most serious category, but it is not a paperwork technicality either. CMS uses the potential-for-harm threshold specifically because the absence of documented injury does not mean an absence of risk. A resident whose toenails have grown long enough to curl into the skin, or whose foot sores have gone unnoticed during missed assessments, has not yet been harmed in the way the report can measure. That does not mean they are fine.
Nursing homes are required to report their own correction dates to CMS after a deficiency is cited. The facility sets the date; inspectors do not verify the fix in real time. Follow-up surveys happen, but not always immediately, and not always for every deficiency at every level. A correction date of October 17 means Pelican Health Randolph told regulators the problem would be resolved within 30 days. What changed inside the building during those 30 days, whether a protocol was updated, whether staff received training, whether the residents who had been receiving inadequate foot care were reassessed, is not part of the public record.
Charlotte has a substantial elderly population, and Pelican Health Randolph is one of several long-term care facilities serving residents who often have no other option. For many nursing home residents, the facility is not a temporary stop. It is where they live. The standard for what happens to their feet, their skin, their bodies on a daily basis should not require a federal complaint to enforce.
Fifteen deficiencies in one visit. One of them for foot care. The residents whose care prompted that complaint are still there.
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.
Inspectors classified it as an isolated deficiency with no documented actual harm, but with the potential for more than minimal harm.
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.