All citations for Pelican Health Randolph LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pelican Health Randolph LLC

Last standard health inspection on record

September 17, 2025

Showing 26 to 50 of 61 citations

  1. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0919, Environmental Deficiencies. Inspection of September 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2025).

  2. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of June 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2024).

  3. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2024).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2024).

  5. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of June 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2024).

  6. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of June 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2024).

  7. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2024).

  8. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of May 3, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2024).

  9. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of April 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2024).

  10. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  12. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  13. No harm, with potential for more than minimal harm

    Have an alternate power supply for its alarm system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  14. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  15. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  16. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  17. No harm, with potential for more than minimal harm

    Meet requirements for the use of electrical equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  18. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  19. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2023).

  20. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  21. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  23. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  24. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  25. No harm, with potential for more than minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of February 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.