CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Pelican Health Randolph LLC
View the most recent health deficiencies and inspection results for Pelican Health Randolph LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pelican Health Randolph LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-17 | 2025-10-17 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-17 | 2025-10-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-17 | 2025-10-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-17 | 2025-10-17 | Y |
| 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. | Health | 2025-09-17 | 2025-10-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-17 | 2025-10-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-09-17 | 2025-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-17 | 2025-10-17 | N |
| Ensure 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. | Health | 2025-09-17 | 2025-10-17 | N |
| Provide appropriate foot care. | Health | 2025-09-17 | 2025-10-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-17 | 2025-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-17 | 2025-10-17 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-09-17 | 2025-10-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-17 | 2025-10-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-09-17 | 2025-10-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-27 | 2024-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-27 | 2024-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-27 | 2024-08-09 | N |
| 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. | Health | 2024-06-27 | 2024-07-23 | N |
| 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. | Health | 2024-06-27 | 2024-07-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-27 | 2024-07-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-27 | 2024-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-07-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-03 | 2024-05-04 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-03 | 2024-05-04 | Y |
| Post nurse staffing information every day. | Health | 2024-05-03 | 2024-05-04 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-24 | 2024-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-01-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-24 | 2024-01-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-05-23 | 2023-06-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-28 | 2023-06-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-28 | 2023-06-14 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2023-05-23 | 2023-06-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-23 | 2023-06-14 | Y |
| 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. | Health | 2023-05-23 | 2023-06-14 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-28 | 2023-05-23 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-02-28 | 2023-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-28 | 2023-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-28 | 2023-05-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-28 | 2023-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-28 | 2023-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-28 | 2023-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-28 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-05-23 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-02-28 | 2023-05-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-28 | 2023-05-23 | N |
| 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. | Health | 2023-02-28 | 2023-05-23 | N |
| 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. | Health | 2023-02-28 | 2023-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-28 | 2023-05-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-28 | 2023-05-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-28 | 2023-05-23 | N |
| 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. | Health | 2023-02-28 | 2023-05-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-28 | 2023-05-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-28 | 2023-05-10 | N |
| 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. | Health | 2023-02-28 | 2023-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-22 | 2021-12-22 | N |