Overall Rating
Address
2616 East 5th Street
Charlotte, NC 28204
Contact
7043335165
Certification Date
1980-12-22
CMS Certification Number
345201
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
120
Average Number of Residents per Day
68.5
Provider Type
Medicare and Medicaid
Legal Business Name
PELICAN HEALTH AT CHARLOTTE LLC
Affiliated Entity Name
SIMCHA HYMAN & NAFTALI ZANZIPER
Affiliated Entity ID
580
Health Inspection Rating
1
Quality Measure Rating
1
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
2.36156
Reported LPN Staffing Hours per Resident per Day
1.61399
Reported RN Staffing Hours per Resident per Day
0.55845
Reported Total Nurse Staffing Hours per Resident per Day
4.53400
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
4.11470
Registered Nurse Hours per Resident per Day on the Weekend
0.50410
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06669
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
1
Total Weighted Health Survey Score
228.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
81
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-08-29
Total Number of Health Deficiencies
22
Number of Standard Health Deficiencies
20
Number of Complaint Health Deficiencies
22
Health Deficiency Score
344
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
344
Standard Health Survey Date
2022-03-02
Total Number of Health Deficiencies
22
Number of Standard Health Deficiencies
16
Number of Complaint Health Deficiencies
14
Health Deficiency Score
148
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
148
Standard Health Survey Date
2019-07-18
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
0
Health Deficiency Score
40
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
40
Number of Fines
5
Total Amount of Fines in Dollars
69060.55
Number of Payment Denials
1
Total Number of Penalties
6