Independent · Federal inspection records, searchable
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Facility profile · CCN 345134

Pelican Health Randolph Llc

51 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $19,663.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
51
Total citations
30
Last 3 years
2
Actual harm+
3
Federal penalties
$19,663
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

51 on record
SurveyF-TagViolationSeveritySource
Sep 17, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Sep 17, 2025F880Provide and implement an infection prevention and control program.DComplaint
Sep 17, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Sep 17, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Sep 17, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
Sep 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 17, 2025F584Honor 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
Sep 17, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Sep 17, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Sep 17, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Sep 17, 2025F693Ensure 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
Sep 17, 2025F687Provide appropriate foot care.DStandard
Jun 27, 2024F880Provide and implement an infection prevention and control program.DStandard
Jun 27, 2024F760Ensure that residents are free from significant medication errors.EStandard
Jun 27, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 27, 2024F758Implement 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
Jun 27, 2024F578Honor 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
May 3, 2024F732Post nurse staffing information every day.CComplaint
May 3, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 3, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BComplaint
Apr 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 24, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Apr 24, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
May 23, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
May 23, 2023F584Honor 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.BComplaint
May 23, 2023F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.BComplaint
May 23, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Feb 28, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Feb 28, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Feb 28, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 28, 2023F761Ensure 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
Feb 28, 2023F758Implement 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
Feb 28, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Feb 28, 2023F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.EStandard
Feb 28, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Feb 28, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Feb 28, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 28, 2023F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.DStandard
Feb 28, 2023F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Feb 28, 2023F641Ensure each resident receives an accurate assessment.DStandard
Feb 28, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Feb 28, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Feb 28, 2023F584Honor 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
Feb 28, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Feb 28, 2023F578Honor 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
Feb 28, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Feb 28, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Feb 28, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $19,663 .

DateTypeFinePayment denial
Apr 24, 2024Fine$4,017
Apr 24, 2024Fine$7,823
Apr 24, 2024Fine$7,823
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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