Deficiency Records for Pelican Health at Charlotte
Updated as of October 01, 2019
This is not the most recent data for Pelican Health at Charlotte. For the most recent information, click here.
A list of the most recent deficiencies for Pelican Health at Charlotte. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-18 | 2019-08-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-18 | 2019-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-18 | 2019-08-09 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-07-18 | 2019-08-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-18 | 2019-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-18 | 2019-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-18 | 2019-08-09 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-18 | 2019-08-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-12 | 2019-04-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-03 | 2019-01-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-19 | 2018-11-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-07-27 | 2018-11-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-19 | 2018-10-08 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-08-30 | 2018-10-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-08-30 | 2018-10-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-08-30 | 2018-10-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-30 | 2018-10-05 | 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 | 2018-08-30 | 2018-10-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-08-30 | 2018-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-30 | 2018-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-30 | 2018-10-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-07-27 | 2018-09-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-07-27 | 2018-09-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-07-27 | 2018-09-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-27 | 2018-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-27 | 2018-09-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-04-25 | 2018-05-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-03-12 | 2018-05-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-25 | 2018-05-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-04-25 | 2018-05-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-12 | 2018-04-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-12 | 2018-04-25 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-03-12 | 2018-04-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-12 | 2018-04-25 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-12 | 2018-04-25 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-10-26 | 2018-01-05 | 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 | 2017-10-26 | 2018-01-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Have an externally vented heating system. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-26 | 2018-01-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-11-29 | 2017-12-22 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-05 | 2017-12-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-05 | 2017-12-22 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-05 | 2017-12-22 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-05 | 2017-11-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-05 | 2017-11-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-05 | 2017-11-03 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-10-05 | 2017-11-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-05 | 2017-11-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-10-05 | 2017-11-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-05 | 2017-11-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-05 | 2017-11-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-05 | 2017-11-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-05 | 2017-11-03 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-07-25 | 2017-09-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-25 | 2017-09-05 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-20 | 2017-07-17 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-02-20 | 2017-03-20 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-20 | 2017-03-20 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-01-14 | 2017-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-14 | 2017-02-20 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-11-16 | 2017-01-14 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-16 | 2017-01-14 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-11-16 | 2017-01-14 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-11-16 | 2017-01-14 | Y |
| Approved construction type or materials. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
| Proper backup exit lighting. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-09-22 | 2016-11-14 | N |
