Pelican Health Randolph LLC
Charlotte, North Carolina · CCN 345134
20 surveys since 2011. The first finding at harm level was recorded in 2024.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 116
- Surveys
- 20
- Harm or worse
- 3
- Immediate jeopardyall corrected before survey
- 3
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 100
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Mecklenburg
- Medicare-certified since
- 1980
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 125 for-profit facilities of 100–127 beds in North Carolina.
Last survey on record
Sep 17, 2025
418 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.15 | 3.47 |
| Registered-nurse hours per resident day | 0.65 | — |
| Annual nurse turnover | 76.1% | 49.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $19,663 across 3 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J24.3% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3268.1% | E1123.4% | F— |
| No harm, potential for minimal | A— | B12.1% | C12.1% |
Most frequently cited here
In CMS’s current monthly file.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5542×
Allow residents to self-administer drugs if determined clinically appropriate.
- F5782×
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.
- F5842×
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.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
In the surveyor’s words
From the most serious findings on record at Pelican Health Randolph LLC, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684Apr 24, 2024
Based on record review, observations, and resident and staff interviews, Transporter #1 failed to call emergency medical services (EMS) or have a resident assessed by a medical professional before moving Resident #1 after his wheelchair tipped over and he fell to the floor of a transportation van. On 1/19/24 Transporter #1 pulled out of the dialysis center parking lot and Resident #1's wheelchair tipped backwards, and he hit the left occipital region of his head. Transporter #1 pulled the transportation van over to a parking lot and pulled the resident back up into a sitting position and transported Resident #1 8.4 miles back to the facility. […]
- Immediate jeopardy, isolatedF689Apr 24, 2024
Based on record review, observation, resident, and staff interviews, the facility failed to provide safe transportation for Resident #1 when he was being transported from dialysis back to the facility on [DATE]. Transporter #1 pulled out of the parking lot of the dialysis center and Resident #1's wheelchair tipped over, and he hit the left side of his head. Transporter #1 pulled the transportation van over to a parking lot, where Resident #1 insisted upon Transporter #1 sitting him back upright, and Transporter #1 pulled the resident back up into a sitting and upright position. […]
- Immediate jeopardy, isolatedF689Mar 13, 2024
Based on record review, observation, resident, and staff interviews, the facility failed to provide safe transportation for Resident #1 when he was being transported from dialysis back to the facility on [DATE]. Transporter #1 pulled out of the parking lot of the dialysis center and Resident #1's wheelchair tipped over, and he hit the left side of his head. Transporter #1 pulled the transportation van over to a parking lot, where Resident #1 insisted upon Transporter #1 sitting him back upright, and Transporter #1 pulled the resident back up into a sitting and upright position. […]
- No harm, potential for more than minimal, patternF584Sep 17, 2025
Based on observations, residents and staff interviews, the facility failed to fill the gaps around the packaged terminal air conditioners (PTACs) to separate the exterior environment from the interior of the residents' rooms and failed to secure the seal around the PTACs (rooms #108, #110, #135, #151) for 4 of 8 rooms on 3 of 4 halls reviewed for homelike environment. The findings included:a. An observation conducted on 9/12/25 at 9:32 AM in room [ROOM NUMBER] revealed the PTAC unit did not align against the wall and there was an approximately one-inch gap across the top of PTAC unit where the remaining insulation was observed to be in a crumbled condition. Through the gap daylight from the exterior of the building was visible from the interior of the resident room.b. […]
- No harm, potential for more than minimal, patternF925Sep 17, 2025
Based on observations, record review and resident, staff and Pest Control Technician interviews, the facility failed to maintain an effective pest control program to prevent the presence of roaches and/or flies that were observed in 1 of 1 conference room, 1 of 1 lobby, 2 of 2 resident hallways (East and [NAME] hallways), and 4 of 4 resident rooms (Rooms 108, 109, 113, and 134). The findings included: A review of the pest control Commercial Services Agreement dated 12/24/24 revealed service for roaches, common ants, rats and mice and common spiders, and the service would occur two times per month. A review of the semi-monthly pest control service report dated 7/30/25 read: Inspected and serviced interior as requested. […]
Read 23 findings in full →The most serious and the most recent: 23 of 116 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 17, 2025Standard15 findings
- Jun 27, 2024Standard5 findings
- May 3, 2024Complaint3 findings
- Apr 24, 2024Complaint3 findings · 2 harm
- Mar 13, 2024Complaint4 findings · 1 harm
- May 23, 2023Complaint4 findings
- Feb 28, 2023Complaint21 findings
- Feb 17, 2022Complaint10 findings
Show the 12 earlier surveys
- Nov 22, 2021Standard and complaint7 findings
- Dec 13, 2019Standard and complaint3 findings
- Oct 4, 2018Standard3 findings
- Apr 20, 2018Complaint7 findings
- Aug 12, 2017Standard and complaint8 findings
- Jun 24, 2016Standard and complaint9 findings
- May 6, 2015Standard and complaint2 findings
- Dec 19, 2013—3 findings
- Nov 13, 2013—2 findings
- Oct 4, 2012—3 findings
- Aug 7, 2012—1 finding
- Sep 2, 2011—3 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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