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PELICAN HEALTH HENDERSON LLC

πŸ“ 280 SOUTH BECKFORD DRIVE, henderson, NC 27536 πŸ“ž 2524386141 πŸ›οΈ 78 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

61
Total Violations
7 years of data
$118,370
Total Fines
6 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 10 violations

Tag 0550 G Feb 19, 2025

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

βœ“ Corrected: Mar 20, 2025
Tag 0584 D Feb 19, 2025

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 20, 2025
Tag 0600 D Feb 19, 2025

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

βœ“ Corrected: Mar 20, 2025
Tag 0607 D Feb 19, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Mar 20, 2025
Tag 0610 D Feb 19, 2025

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 20, 2025
Tag 0689 E Feb 19, 2025

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

βœ“ Corrected: Mar 21, 2025
Tag 0755 D Feb 19, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Mar 20, 2025
Tag 0759 E Feb 19, 2025

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Mar 20, 2025
Tag 0760 D Feb 19, 2025

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 20, 2025
Tag 0880 E Feb 19, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 20, 2025

2024 14 violations

Tag 0565 E Aug 29, 2024

Honor the resident's right to organize and participate in resident/family groups in the facility.

βœ“ Corrected: Sep 25, 2024
Tag 0576 C Aug 29, 2024

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Sep 25, 2024
Tag 0578 E Aug 29, 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: Sep 25, 2024
Tag 0580 D Aug 29, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Sep 25, 2024
Tag 0610 D Aug 29, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Sep 25, 2024
Tag 0623 E Aug 29, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Sep 25, 2024
Tag 0658 D Aug 29, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Sep 25, 2024
Tag 0689 D Aug 29, 2024

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

βœ“ Corrected: Sep 25, 2024
Tag 0727 F Aug 29, 2024

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Sep 25, 2024
Tag 0755 D Aug 29, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Sep 25, 2024
Tag 0756 D Aug 29, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Sep 25, 2024
Tag 0760 E Aug 29, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Sep 25, 2024
Tag 0883 E Aug 29, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Sep 25, 2024
Tag 0887 D Aug 29, 2024

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

βœ“ Corrected: Sep 25, 2024

2023 7 violations

Tag 0554 D Jun 29, 2023

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

βœ“ Corrected: Jul 25, 2023
Tag 0558 D Jun 29, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jul 25, 2023
Tag 0577 C Jun 29, 2023

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

βœ“ Corrected: Jul 25, 2023
Tag 0584 D Jun 29, 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: Jul 25, 2023
Tag 0641 E Jun 29, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jul 25, 2023
Tag 0644 D Jun 29, 2023

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

βœ“ Corrected: Aug 8, 2023
Tag 0695 E Jun 29, 2023

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

βœ“ Corrected: Jul 25, 2023

2022 13 violations

Tag 0755 E Oct 28, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Nov 22, 2022
Tag 0559 E Sep 24, 2022

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

βœ“ Corrected: Oct 9, 2022
Tag 0560 D Sep 24, 2022

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

βœ“ Corrected: Oct 9, 2022
Tag 0584 B Sep 24, 2022

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: Oct 9, 2022
Tag 0656 D Sep 24, 2022

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

βœ“ Corrected: Oct 9, 2022
Tag 0660 E Sep 24, 2022

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Oct 11, 2022
Tag 0684 D Sep 24, 2022

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

βœ“ Corrected: Oct 28, 2022
Tag 0755 E Sep 24, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Oct 9, 2022
Tag 0626 D Aug 3, 2022

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

βœ“ Corrected: Sep 24, 2022
Tag 0842 E Aug 3, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Sep 24, 2022
Tag 0583 D Apr 28, 2022

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: May 18, 2022
Tag 0759 D Apr 28, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: May 18, 2022
Tag 0880 D Apr 28, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 18, 2022

2020 7 violations

Tag 0677 D Nov 24, 2020

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

βœ“ Corrected: Nov 27, 2020
Tag 0732 C Nov 24, 2020

Post nurse staffing information every day.

βœ“ Corrected: Nov 27, 2020
Tag 0755 D Jul 9, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jul 23, 2020
Tag 0689 D Feb 13, 2020

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

βœ“ Corrected: Feb 28, 2020
Tag 0758 D Feb 13, 2020

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: Feb 28, 2020
Tag 0761 D Feb 13, 2020

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.

βœ“ Corrected: Feb 28, 2020
Tag 0812 E Feb 13, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Feb 28, 2020

2019 5 violations

Tag 0641 D May 16, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jun 10, 2019
Tag 0655 D May 16, 2019

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

βœ“ Corrected: Jun 10, 2019
Tag 0656 D May 16, 2019

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

βœ“ Corrected: Jun 10, 2019
Tag 0842 D May 16, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jun 10, 2019
Tag 0867 D May 16, 2019

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

βœ“ Corrected: Jun 10, 2019

2018 5 violations

Tag 0623 C Jun 14, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Jul 10, 2018
Tag 0655 D Jun 14, 2018

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

βœ“ Corrected: Jul 10, 2018
Tag 0656 D Jun 14, 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: Jul 10, 2018
Tag 0814 E Jun 14, 2018

Dispose of garbage and refuse properly.

βœ“ Corrected: Jul 10, 2018
Tag 0865 D Jun 14, 2018

Have a plan that describes the process for conducting QAPI and QAA activities.

βœ“ Corrected: Jul 10, 2018

Detailed Inspection Reports

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

Fines and Penalties by Year

2025 2 penalties totaling $56,700

$56,700
Fine
February 19, 2025
$0
Payment Denial
February 19, 2025
Average: $28,350 | Range: $0 - $56,700

2022 4 penalties totaling $61,670

$32,389
Fine
August 3, 2022
$23,186
Fine
August 3, 2022
$6,095
Fine
August 3, 2022
$0
Payment Denial
August 3, 2022
Average: $15,418 | Range: $0 - $32,389

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 29, 2024
0.00

Health

June 29, 2023
0.00

Health

October 28, 2022
0.00

Health

September 24, 2022
0.00

Health

August 3, 2022
0.00

Health

April 28, 2022
0.00

Health

February 13, 2020
0.00

Quality Measures

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Ownership Information

For profit - Limited Liability company
Independent (Not part of a chain)
345344
345344
2524386141
Vance

Historical Ownership Records

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