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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-09-27 | 2023-11-30 | 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 | 2023-09-27 | 2023-11-30 | 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 | 2023-09-27 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-29 | 2023-09-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-29 | 2023-09-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-29 | 2023-09-26 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-29 | 2023-09-26 | 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 | 2023-08-29 | 2023-09-26 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-29 | 2023-09-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-29 | 2023-09-26 | 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 | 2023-08-29 | 2023-09-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-29 | 2023-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-29 | 2023-09-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-09-26 | 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 | 2023-08-29 | 2023-09-26 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-29 | 2023-09-26 | Y |
| Post nurse staffing information every day. | Health | 2023-08-29 | 2023-09-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-29 | 2023-09-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-29 | 2023-09-26 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-29 | 2023-09-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-29 | 2023-09-26 | Y |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-08-29 | 2023-09-26 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-29 | 2023-09-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-21 | 2023-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-05-27 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-02 | 2022-11-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-20 | 2022-11-02 | Y |
| Keep all essential equipment working safely. | Health | 2022-09-20 | 2022-11-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-20 | 2022-11-02 | 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 | 2022-09-20 | 2022-10-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-20 | 2022-08-26 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-22 | 2022-05-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-02 | 2022-03-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-02 | 2022-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-02 | 2022-03-30 | N |
| Provide appropriate foot care. | Health | 2022-03-02 | 2022-03-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-02 | 2022-03-30 | 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 | 2022-03-02 | 2022-03-30 | N |
| Keep all essential equipment working safely. | Health | 2022-03-02 | 2022-03-30 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-03-02 | 2022-03-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-02 | 2022-03-30 | 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 | 2022-03-02 | 2022-03-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-02 | 2022-03-30 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-03-02 | 2022-03-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-02 | 2022-03-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-02 | 2022-03-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-02 | 2022-03-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-02 | 2022-03-30 | Y |
| 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 | 2019-08-29 | 2019-11-22 | 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 | 2019-08-29 | 2019-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-29 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-29 | 2019-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-29 | 2019-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-29 | 2019-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-29 | 2019-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-29 | 2019-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-29 | 2019-11-22 | N |
| 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-18 | 2019-08-09 | N |
| 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 | 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 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-18 | 2019-08-09 | N |
