Elder Care Record

North Carolina › Mecklenburg County › Charlotte

Pelican Health Randolph LLC

4801 Randolph Road, Charlotte, NC 28211

CCN 345134 · For-profit, corporation · 100 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 100 beds, Pelican Health Randolph LLC serves Charlotte in Mecklenburg County, North Carolina and has taken Medicare and Medicaid residents since 1980.

CMS gives it 1 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.

Inspectors recorded 47 health deficiencies across the three most recent survey cycles (15, 5, 27 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 47.0 per 100 beds, more than the state median of 15.6.

CMS lists 3 penalties in the period covered: fines totalling $20K.

Reported nurse staffing is 3.2 hours per resident per day (0.7 RN), close to the North Carolina median of 3.5; nursing staff turnover is 76.1%.

47health deficiencies, 3 survey cycles2 at actual harm or worse
$20Kfines listed by CMS3 penalties in period
3.2nurse hours per resident per daystate median 3.5
82%occupancy (residents ÷ beds)82 residents a day

Compared with county, state and nation

MeasureThis facilityMecklenburg Co. medianNorth Carolina medianUS average
Overall star rating1233.0
Health citations, 3 cycles47191628.7
Citations per 100 beds47.025.515.626.8
Total nurse hours per resident day3.23.53.53.9
RN hours per resident day0.70.50.50.7
Nursing staff turnover76.1%56.1%48.6%45.8%
Fines listed$19,663$15,470$8,512—

County and state figures are medians across facilities (29 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)15
Cycle 25
Cycle 327

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Sep 2025, 27 Jun 2024.

Severity mix: J ×2 D ×32 E ×11 B ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
17 Sep 2025F0584Honor 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.EComplaint investigation17 Oct 2025
17 Sep 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation17 Oct 2025
17 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation17 Oct 2025
17 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation17 Oct 2025
17 Sep 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation17 Oct 2025
17 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation17 Oct 2025
17 Sep 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation17 Oct 2025
17 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Oct 2025
17 Sep 2025F0687Provide appropriate foot care.DStandard survey17 Oct 2025
17 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation17 Oct 2025
17 Sep 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation17 Oct 2025
17 Sep 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey17 Oct 2025
17 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Oct 2025
17 Sep 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation17 Oct 2025
17 Sep 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey17 Oct 2025
27 Jun 2024F0758Implement 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.EStandard survey23 Jul 2024
27 Jun 2024F0760Ensure that residents are free from significant medication errors.EStandard survey23 Jul 2024
27 Jun 2024F0578Honor 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.DStandard survey23 Jul 2024
27 Jun 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey23 Jul 2024
27 Jun 2024F0880Provide and implement an infection prevention and control program.DStandard survey23 Jul 2024
3 May 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation4 May 2024
3 May 2024F0732Post nurse staffing information every day.CComplaint investigation4 May 2024
3 May 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BComplaint investigation4 May 2024
24 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation24 Jan 2024
24 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation24 Jan 2024
24 Apr 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation4 May 2024
28 Feb 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey14 Jun 2023
28 Feb 2023F0584Honor 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.EStandard survey24 Mar 2023
28 Feb 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey23 May 2023
28 Feb 2023F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard survey23 May 2023
28 Feb 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey23 May 2023
28 Feb 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 May 2023
28 Feb 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey14 Jun 2023
28 Feb 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey23 May 2023
28 Feb 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey23 May 2023
28 Feb 2023F0578Honor 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.DStandard survey23 May 2023
28 Feb 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey23 May 2023
28 Feb 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey23 May 2023
28 Feb 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey23 May 2023
28 Feb 2023F0641Ensure each resident receives an accurate assessment.DStandard survey23 May 2023
28 Feb 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey23 May 2023
28 Feb 2023F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard survey23 May 2023
28 Feb 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey23 May 2023
28 Feb 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey23 May 2023
28 Feb 2023F0758Implement 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.DStandard survey23 May 2023
28 Feb 2023F0761Ensure 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.DStandard survey23 May 2023
28 Feb 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey23 May 2023

Penalties

DateTypeAmountDetail
24 Apr 2024Fine$7,823
24 Apr 2024Fine$7,823
24 Apr 2024Fine$4,017

Staffing

Total nursing3.15 h
Nurse aides1.9 h
LPN0.61 h
RN0.65 h
Weekend total3 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 76.1%, RNs 66.7%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.8%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.4%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.0%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.8%13.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mecklenburg County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Brookdale Carriage Club ProvidenceCharlotte145541178.6—7 May 2026
Mecklenburg Heath and RehabilitationCharlotte10054299.0$4K23 Jul 2026
Novant Health Presbyterian Medical Center-SnuCharlotte12555541.7—15 Aug 2024
Willowbrooke Court Sc Ctr At Matthews GlenMatthews15545640.0—8 Jul 2025
Briar Creek Health CenterCharlotte64448133.3$9K6 May 2025
Lakeside Health & Rehab CenterHuntersville1144321513.2—11 Dec 2025
The Sharon At SouthparkCharlotte194441052.6—7 Nov 2024
Huntersville Health & Rehabilitation Centerabuse iconHuntersville903231415.6—12 Jun 2026

All 29 facilities in Mecklenburg County

Questions and answers

How many deficiencies has Pelican Health Randolph LLC been cited for?

47 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.

Has Pelican Health Randolph LLC been fined?

Yes. CMS lists fines totalling $20K in the period covered.

How does staffing at Pelican Health Randolph LLC compare?

Reported total nurse staffing is 3.2 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates Pelican Health Randolph LLC?

Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Pelican Health Randolph LLC last inspected?

The most recent survey or investigation in the CMS record is dated 17 Sep 2025; the most recent standard health survey was 17 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.