Data / Nursing homes / Colorado / Pelican Pointe Health and Rehabilitation Center
Pelican Pointe Health and Rehabilitation Center, Windsor, CO: 2 star rating, fined $78,577 across 5 fines
Pelican Pointe Health and Rehabilitation Center in Windsor, CO is run by Legal Business Name Not Available, with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and was fined $78,577 across 5 fines in the three years to October 1, 2026. CMS lists 34 health citations from inspections in that time, the latest survey on July 21, 2026, and 3 of them found actual harm or immediate jeopardy.
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- Address
- 710 3rd St, Windsor, CO 80550
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 5 of 5
- Certified beds
- 104
- Residents per day
- 89 on average
- Ownership type
- For profit, corporation
- Legal business name
- Legal Business Name Not Available
- Chain
- The Ensign Group, 347 facilities
- Fines
- $78,577 across 5 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 34, of which 3 with actual harm or immediate jeopardy
- Latest survey
- July 21, 2026
- CMS Certification Number
- 065278
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| May 19, 2026 | Fine | $17,010 | Not listed | data.cms.gov | |
| July 15, 2025 | Fine | $18,707 | Not listed | data.cms.gov | |
| December 11, 2023 | Fine | $30,862 | Not listed | data.cms.gov | |
| November 20, 2023 | Fine | $3,529 | Not listed | data.cms.gov | |
| October 30, 2023 | Fine | $8,469 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| July 21, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | data.cms.gov | |
| May 19, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G: isolated, actual harm | Corrected | June 5, 2026 | data.cms.gov |
| May 19, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 5, 2026 | data.cms.gov |
| May 19, 2026 | F760 | Ensure that residents are free from significant medication errors. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 5, 2026 | data.cms.gov |
| January 15, 2026 | F881 | Implement a program that monitors antibiotic use. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2026 | data.cms.gov |
| January 15, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2026 | data.cms.gov |
| January 15, 2026 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2026 | data.cms.gov |
| January 15, 2026 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2026 | data.cms.gov |
| January 15, 2026 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2026 | data.cms.gov |
| January 15, 2026 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 7, 2026 | data.cms.gov |
| July 15, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J: isolated, immediate jeopardy | Corrected | August 8, 2025 | data.cms.gov |
| July 15, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | August 8, 2025 | data.cms.gov |
| July 15, 2025 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | August 8, 2025 | data.cms.gov |
| February 4, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 19, 2025 | data.cms.gov |
| June 10, 2024 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 11, 2024 | data.cms.gov |
| June 10, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 11, 2024 | data.cms.gov |
| June 10, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 12, 2024 | data.cms.gov |
| December 11, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | G: isolated, actual harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F908 | Keep all essential equipment working safely. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F880 | Provide and implement an infection prevention and control program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F761 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
| December 11, 2023 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 29, 2023 | data.cms.gov |
Also on SpecStream
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.