Pelican Health Randolph LLC
CCN: 345134 · Charlotte, NC 28211 · Mecklenburg County
Overview
- Address
- 4801 Randolph Road, Charlotte, NC 28211
- Phone
- 7043648363
- Certified beds
- 100
- Avg daily residents
- 79 (79% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1980-10-01
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.15 | 3.80 | 3.20 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.73 | 0.66 | 0.74 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.60 | 0.84 | 0.61 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.82 | 2.29 | 1.85 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.33 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-09-17 | 15 | 15 | 11 | 68 | 1 | 68 |
| Cycle 2/3 (prior) | 2024-06-27 | 15 | 5 | 10 | 84 | 1 | 84 |
Deficiencies (51)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0687 | Provide appropriate foot care. | D | 2025-09-17 | 2025-10-17 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-09-17 | 2025-10-17 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-17 | 2025-10-17 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-09-17 | 2025-10-17 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-17 | 2025-10-17 |
| 0584 | 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. | E | 2025-09-17 | 2025-10-17 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-09-17 | 2025-10-17 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-17 | 2025-10-17 |
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-09-17 | 2025-10-17 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-09-17 | 2025-10-17 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-17 | 2025-10-17 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-17 | 2025-10-17 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-09-17 | 2025-10-17 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-09-17 | 2025-10-17 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-09-17 | 2025-10-17 |
| 0578 | 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. | D | 2024-06-27 | 2024-07-23 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2024-06-27 | 2024-07-23 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-27 | 2024-07-23 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2024-06-27 | 2024-07-23 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-06-27 | 2024-07-23 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | 2024-05-03 | 2024-05-04 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-05-03 | 2024-05-04 |
| 0732 | Post nurse staffing information every day. | C | 2024-05-03 | 2024-05-04 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-04-24 | 2024-05-04 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-04-24 | 2024-01-24 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-04-24 | 2024-01-24 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-05-23 | 2023-06-14 |
| 0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | B | 2023-05-23 | 2023-06-14 |
| 0584 | 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. | B | 2023-05-23 | 2023-06-14 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-05-23 | 2023-06-14 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-02-28 | 2023-05-23 |
| 0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-02-28 | 2023-05-23 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2023-02-28 | 2023-06-14 |
| 0578 | 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. | D | 2023-02-28 | 2023-05-23 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-02-28 | 2023-05-23 |
| 0584 | 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. | E | 2023-02-28 | 2023-03-24 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-02-28 | 2023-05-23 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-02-28 | 2023-05-23 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-02-28 | 2023-05-23 |
| 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-02-28 | 2023-05-23 |
| 0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2023-02-28 | 2023-05-23 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-02-28 | 2023-05-23 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-02-28 | 2023-05-23 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-02-28 | 2023-05-23 |
| 0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2023-02-28 | 2023-05-23 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-02-28 | 2023-05-23 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-02-28 | 2023-05-23 |
| 0761 | 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. | D | 2023-02-28 | 2023-05-23 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-02-28 | 2023-05-23 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2023-02-28 | 2023-06-14 |
Showing 50 most recent of 51. See the All Data CSV for the full list.
Penalties (3)
| Date | Type | Fine amount |
|---|---|---|
| 2024-04-24 | Fine | $4,017 |
| 2024-04-24 | Fine | $7,823 |
| 2024-04-24 | Fine | $7,823 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SIMCHA HYMAN & NAFTALI ZANZIPER
- Chain ID
580- Facilities in chain
- 94
- Legal business name
- PELICAN HEALTH RANDOLPH LLC
Owner / manager organizations (7)
| Organization | Role | Association |
|---|---|---|
| MC M53 SPE OPCO HOLDCO | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| ACCORDIUS SNF HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| HC FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| SHNZ HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| WYNCOTE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| ZANZIPER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| ACCORDIUS HEALTH LLC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| MORROW, KIMBERLY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/01/2021 |
| GORELICK, BATYA | CORPORATE OFFICER | since 05/01/2021 |
| MORROW, KIMBERLY | W-2 MANAGING EMPLOYEE | since 12/01/2021 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $30 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.08 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 77.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-165,365 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,072,244 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 76.8% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,950,273 | metrics.total_assets |
| Cost Report | Total Costs ($) | $833,093 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $2,248,943 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,701,330 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -1.8% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.61417 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.84984 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.74023 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.20424 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.95367 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 78.5 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84290 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.29081 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66439 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.79809 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.34762 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.3 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 580 | Chain ID |
| Provider Information | Chain Name | SIMCHA HYMAN & NAFTALI ZANZIPER | Chain Name |
| Provider Information | City/Town | Charlotte | City/Town |
| Provider Information | CMS Certification Number (CCN) | 345134 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Mecklenburg | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1980-10-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.1721 | Latitude |
| Provider Information | Legal Business Name | PELICAN HEALTH RANDOLPH LLC | Legal Business Name |
| Provider Information | Location | 4801 Randolph Road,Charlotte,NC,28211 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -80.797 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 3 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 100 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 94 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 3 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.34549 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.97666 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 4801 Randolph Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Pelican Health Randolph LLC | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 590 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 68 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 11 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 15 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-09-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 68 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 15 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-06-27 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 84 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 10 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 84 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.52586 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 60.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.33236 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.60417 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.81974 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.06220 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.72818 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.15210 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NC | State |
| Provider Information | Telephone Number | 7043648363 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 19663.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.90560 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 78.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 72.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 28211 | ZIP Code |