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PELICAN HEALTH RANDOLPH LLC

πŸ“ 4801 RANDOLPH ROAD, charlotte, NC 28211 πŸ“ž 7043648363 πŸ›οΈ 100 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

72
Total Violations
7 years of data
$34,060
Total Fines
2 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 12 violations

Tag 0578 D Jun 27, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Jul 23, 2024
Tag 0758 E Jun 27, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jul 23, 2024
Tag 0759 D Jun 27, 2024

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jul 23, 2024
Tag 0760 E Jun 27, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jul 23, 2024
Tag 0880 D Jun 27, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 23, 2024
Tag 0657 B May 3, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 4, 2024
Tag 0690 D May 3, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 4, 2024
Tag 0732 C May 3, 2024

Post nurse staffing information every day.

βœ“ Corrected: May 4, 2024
Tag 0554 D Mar 13, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Mar 13, 2024
Tag 0684 D Mar 13, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Mar 13, 2024
Tag 0689 J Mar 13, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 24, 2024
Tag 0867 D Mar 13, 2024

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Mar 13, 2024

2023 25 violations

Tag 0561 D May 23, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Jun 14, 2023
Tag 0571 B May 23, 2023

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

βœ“ Corrected: Jun 14, 2023
Tag 0584 B May 23, 2023

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.

βœ“ Corrected: Jun 14, 2023
Tag 0867 D May 23, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Jun 14, 2023
Tag 0550 D Feb 28, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 24, 2023
Tag 0554 D Feb 28, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Mar 24, 2023
Tag 0561 E Feb 28, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Mar 24, 2023
Tag 0578 D Feb 28, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Mar 24, 2023
Tag 0582 D Feb 28, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Mar 24, 2023
Tag 0584 E Feb 28, 2023

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.

βœ“ Corrected: Mar 24, 2023
Tag 0600 D Feb 28, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 24, 2023
Tag 0636 D Feb 28, 2023

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Mar 24, 2023
Tag 0641 D Feb 28, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Mar 25, 2023
Tag 0644 D Feb 28, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Mar 24, 2023
Tag 0646 D Feb 28, 2023

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

βœ“ Corrected: Mar 24, 2023
Tag 0656 D Feb 28, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 24, 2023
Tag 0677 E Feb 28, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Mar 24, 2023
Tag 0689 D Feb 28, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Mar 24, 2023
Tag 0712 E Feb 28, 2023

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

βœ“ Corrected: Mar 24, 2023
Tag 0725 E Feb 28, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Mar 24, 2023

2022 10 violations

Tag 0636 D Feb 17, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Feb 24, 2022
Tag 0638 E Feb 17, 2022

Assure that each resident’s assessment is updated at least once every 3 months.

βœ“ Corrected: Feb 24, 2022
Tag 0641 D Feb 17, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Feb 24, 2022
Tag 0657 D Feb 17, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Feb 24, 2022
Tag 0677 D Feb 17, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Feb 24, 2022
Tag 0686 D Feb 17, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Feb 24, 2022
Tag 0725 D Feb 17, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Feb 24, 2022
Tag 0732 C Feb 17, 2022

Post nurse staffing information every day.

βœ“ Corrected: Feb 24, 2022
Tag 0760 D Feb 17, 2022

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Feb 24, 2022
Tag 0880 E Feb 17, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Feb 24, 2022

2021 7 violations

Tag 0641 D Nov 22, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Feb 24, 2022
Tag 0656 D Nov 22, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Feb 17, 2022
Tag 0677 D Nov 22, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Feb 24, 2022
Tag 0686 D Nov 22, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Feb 24, 2022
Tag 0688 D Nov 22, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Feb 17, 2022
Tag 0689 E Nov 22, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 17, 2022
Tag 0690 D Nov 22, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Feb 17, 2022

2019 3 violations

Tag 0655 D Dec 13, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jan 10, 2020
Tag 0677 D Dec 13, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 10, 2020
Tag 0695 D Dec 13, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jan 10, 2020

2018 9 violations

Tag 0550 D Oct 4, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Nov 1, 2018
Tag 0656 D Oct 4, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 1, 2018
Tag 0677 D Oct 4, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Nov 1, 2018
Tag 0655 D Apr 20, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: May 11, 2018
Tag 0656 D Apr 20, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 11, 2018
Tag 0689 D Apr 20, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: May 11, 2018
Tag 0700 D Apr 20, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Jun 15, 2018
Tag 0838 E Apr 20, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: May 11, 2018
Tag 0867 D Apr 20, 2018

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Jun 15, 2018

2017 6 violations

Tag 0241 D Aug 12, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Sep 9, 2017
Tag 0253 D Aug 12, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Sep 9, 2017
Tag 0272 D Aug 12, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

βœ“ Corrected: Sep 9, 2017
Tag 0278 E Aug 12, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Sep 9, 2017
Tag 0431 D Aug 12, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Sep 9, 2017
Tag 0520 E Aug 12, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Sep 9, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $26,598

$26,598
Fine
November 22, 2021
Average: $26,598 | Range: $26,598 - $26,598

2018 1 penalties totaling $7,462

$7,462
Fine
April 20, 2018
Average: $7,462 | Range: $7,462 - $7,462

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 27, 2024
0.00

Health

May 3, 2024
0.00

Health

March 13, 2024
0.00

Health

May 23, 2023
0.00

Health

February 28, 2023
0.00

Health

February 17, 2022
0.00

Health

November 22, 2021
0.00

Health

December 13, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345134
345134
7043648363
Mecklenburg

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Organization