Pelican Health at Charlotte: Staff Verbally Abused Resident - NC
That is what inspectors found when they investigated a complaint against Pelican Health at Charlotte following an April 2, 2026, incident involving a resident identified in inspection records as Resident #1.
The nursing assistant, identified as NA #1, was in the resident's room when the situation became heated. A Restorative Aide working nearby heard the disturbance from the hallway. She had been walking another resident at the time, and she asked that resident to sit down and rest while she went to investigate. When she arrived at Resident #1's room, she found NA #1 and the resident yelling and cursing at one another. A nurse, identified as Nurse #1, arrived at the same moment.
The Restorative Aide told NA #1 to stop arguing and leave the room. A second nursing assistant, NA #2, came to the room and walked NA #1 out to the nurses' station. The Restorative Aide and Nurse #1 stayed behind and worked to calm Resident #1 down. The resident was upset, the Restorative Aide reported, about how both aides had treated her.
Then NA #1 came back.
She returned to the room and started yelling and cursing at Resident #1 again. This time, she called the resident a b*.
NA #1 was removed from the room a second time.
As the Restorative Aide left to return to the resident she had been walking, she passed the nurses' station. NA #1 and NA #2 were standing there together, talking about Resident #1. They were calling her a b* and calling her a difficult resident. They were speaking at a volume, and in a location, where other residents could hear them.
The inspection was conducted as a complaint investigation. Inspectors interviewed the Restorative Aide, the facility's former Director of Nursing, and the facility's former Administrator, all of whom confirmed the core sequence of events.
The former Director of Nursing was reached by phone on April 28, 2026. She said she was familiar with the incident, though she noted that the former Administrator had handled most of the investigation. She was direct about what should have happened: NA #1 should have stopped care and left the room the moment Resident #1 became agitated, then reported what had occurred to a nurse. She said both NA #1 and NA #2 should not have yelled and cursed at the resident. Both aides, she confirmed, were terminated.
The former Administrator was also reached by phone on April 28, 2026. She had conducted the investigation herself. She said the allegation of verbal abuse from both NA #1 and NA #2 toward Resident #1 was substantiated. She agreed that NA #1 should have stopped care when the resident became agitated and not engaged in an argument. Both aides, she confirmed, were terminated.
The terminations are not in dispute. What is in dispute is what the facility did next.
Pelican Health at Charlotte submitted a corrective action plan to the state agency following the inspection. That plan was not accepted.
The inspection report does not explain what the facility proposed, or what the state agency found lacking. It states only that the corrective action plan was not accepted. That is where the public record ends.
The inspection was classified as a complaint investigation. The level of harm was documented as minimal harm or potential for actual harm. Few residents were listed as affected. Those designations are regulatory categories, not assessments of what the experience was like for Resident #1, who was cursed at twice in her own room by someone responsible for her care, and whose name was then used as an insult in a common area where her neighbors could hear.
The former Director of Nursing and the former Administrator are both identified in the inspection record as former officials, meaning neither was still in their role at the time inspectors conducted their interviews in late April 2026. The inspection report does not say when they left, or why.
What the record does say is that on April 2, 2026, a nursing assistant at Pelican Health at Charlotte stood in a resident's room and called her a slur. Was removed. Came back. Called her a slur again. Was removed again. Walked to the nurses' station and kept going, talking about the resident in terms that other residents could hear, with a colleague who joined in.
A Restorative Aide walking another resident down the hallway heard it. A nurse heard enough to respond. The facility's own investigation substantiated the abuse.
The corrective action plan the facility submitted in response was rejected.
Resident #1 remains identified in the public record only by a number.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pelican Health At Charlotte from 2026-04-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 7, 2026 · Our methodology
Pelican Health at Charlotte in Charlotte, NC was cited for abuse-related violations during a health inspection on April 29, 2026.
The nursing assistant, identified as NA #1, was in the resident's room when the situation became heated.
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.