Overall Rating
Address
4801 Randolph Road
Charlotte, NC 28211
Contact
7043648363
Certification Date
1980-10-01
CMS Certification Number
345134
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Average Number of Residents per Day
68.6
Provider Type
Medicare and Medicaid
Legal Business Name
PELICAN HEALTH RANDOLPH LLC
Affiliated Entity Name
SIMCHA HYMAN & NAFTALI ZANZIPER
Affiliated Entity ID
580
Health Inspection Rating
1
Quality Measure Rating
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.16908
Reported LPN Staffing Hours per Resident per Day
0.86731
Reported RN Staffing Hours per Resident per Day
0.39627
Reported Total Nurse Staffing Hours per Resident per Day
3.43266
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.02926
Registered Nurse Hours per Resident per Day on the Weekend
0.33405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04385
Long-Stay Quality Measure Rating
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
115.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
64
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-02-28
Total Number of Health Deficiencies
25
Number of Standard Health Deficiencies
21
Number of Complaint Health Deficiencies
25
Health Deficiency Score
120
Number of Health Revisits
2
Health Revisit Score
60
Total Health Score
180
Standard Health Survey Date
2021-11-22
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
4
Health Deficiency Score
32
Number of Health Revisits
2
Health Revisit Score
16
Total Health Score
48
Standard Health Survey Date
2019-12-13
Total Number of Health Deficiencies
13
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
10
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Number of Fines
2
Total Amount of Fines in Dollars
30325.75
Number of Payment Denials
1
Total Number of Penalties
3