Pelican Health Randolph LLC
4801 Randolph Road, Charlotte, NC 28211 · CCN 345134
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 100
- Avg residents/day
- 78.5
- Phone
- 7043648363
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-17 | 15 | 5.6 | 9.5 | +9.4 worse |
| 2 | 2024-06-27 | 11 | 7.2 | 9.8 | +3.8 worse |
| 3 | 2023-02-28 | 25 | 7.4 | 9.3 | +17.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.15 | 78.8% |
| RN staffing (reported) | 0.73 | 60.0% |
| Total nurse staffing (adjusted) | 3.20 | — |
Fines & penalties
- Total fines
- $19,663
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- SIMCHA HYMAN & NAFTALI ZANZIPER
- Facilities in chain
- 94
- Chain avg overall
- 2.30 / 5
Inspection citations (51)2 immediate jeopardy
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- EF0584Honor 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.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0693Ensure 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.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-09-17 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0578Honor 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.2024-06-27 · Health · corrected 2024-07-23
Potential for more than minimal harm
- EF0758Implement 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.2024-06-27 · Health · corrected 2024-07-23
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-06-27 · Health · corrected 2024-07-23
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-06-27 · Health · corrected 2024-07-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-06-27 · Health · corrected 2024-07-23
Potential for more than minimal harm
- BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-03 · Health · corrected 2024-05-04
Potential for minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-03 · Health · corrected 2024-05-04
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-05-03 · Health · corrected 2024-05-04
Potential for minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-24 · Health · corrected 2024-05-04
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-24 · Health · corrected 2024-01-24
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-24 · Health · corrected 2024-01-24
Immediate jeopardy
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-05-23 · Health · corrected 2023-06-14
Potential for more than minimal harm
- BF0571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.2023-05-23 · Health · corrected 2023-06-14
Potential for minimal harm
- BF0584Honor 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.2023-05-23 · Health · corrected 2023-06-14
Potential for minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-05-23 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-02-28 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0578Honor 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.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0584Honor 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.2023-02-28 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0758Implement 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.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- DF0761Ensure 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.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-02-28 · Health · corrected 2023-06-14
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-02-28 · Health · corrected 2023-05-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MC M53 SPE OPCO HOLDCO | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| MORROW, KIMBERLY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| ACCORDIUS SNF HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| HC FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| SHNZ HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| WYNCOTE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| ZANZIPER FAMILY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-12-01 |
| ACCORDIUS HEALTH LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 |
| GORELICK, BATYA | Individual | CORPORATE OFFICER | — | 2021-05-01 |
| MORROW, KIMBERLY | Individual | W-2 MANAGING EMPLOYEE | — | 2021-12-01 |
Other facilities in Charlotte
| Name | Overall | Beds |
|---|---|---|
| Mecklenburg Heath and Rehabilitation | ★★★★★ | 100 |
| Brookdale Carriage Club Providence | ★★★★☆ | 14 |
| Briar Creek Health Center | ★★★★☆ | 6 |
| Sardis Oaks | ★★★★☆ | 124 |
| Sharon Towers | ★★★★☆ | 19 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.