Inspection History Overview

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Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 5 penalties totaling $35,245

$23,465
Aug 25, 2022

Fine

$1,988
Apr 11, 2022

Fine

$1,657
Apr 4, 2022

Fine

$8,135
Feb 22, 2022

Fine

$0
Feb 22, 2022

Payment Denial

2021 5 penalties totaling $50,705

$1,300
Dec 13, 2021

Fine

$975
Dec 6, 2021

Fine

$655
Sep 13, 2021

Fine

$9,750
Jul 29, 2021

Fine

$38,025
Jun 15, 2021

Fine

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Health Violations by Year

2025 1 violations

Tag 0585 D Feb 4, 2025

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.

✓ Corrected: Feb 19, 2025

2024 3 violations

Tag 0677 E Jun 10, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 12, 2024
Tag 0689 E Jun 10, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 11, 2024
Tag 0880 E Jun 10, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 11, 2024

2023 19 violations

Tag 0585 D Dec 11, 2023

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.

✓ Corrected: Dec 29, 2023
Tag 0600 D Dec 11, 2023

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

✓ Corrected: Dec 29, 2023
Tag 0609 D Dec 11, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Dec 29, 2023
Tag 0658 D Dec 11, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 29, 2023
Tag 0660 D Dec 11, 2023

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Dec 29, 2023
Tag 0692 G Dec 11, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Dec 29, 2023
Tag 0744 E Dec 11, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Dec 29, 2023
Tag 0761 D Dec 11, 2023

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.

✓ Corrected: Dec 29, 2023
Tag 0806 D Dec 11, 2023

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Dec 29, 2023
Tag 0838 F Dec 11, 2023

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Dec 29, 2023
Tag 0867 F Dec 11, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Dec 29, 2023
Tag 0880 F Dec 11, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 29, 2023
Tag 0883 F Dec 11, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Dec 29, 2023
Tag 0908 F Dec 11, 2023

Keep all essential equipment working safely.

✓ Corrected: Dec 29, 2023
Tag 0943 F Dec 11, 2023

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

✓ Corrected: Dec 29, 2023
Tag 0944 F Dec 11, 2023

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

✓ Corrected: Dec 29, 2023
Tag 0949 F Dec 11, 2023

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

✓ Corrected: Dec 29, 2023
Tag 0584 E Aug 7, 2023

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.

✓ Corrected: Aug 8, 2023
Tag 0684 D Aug 7, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 8, 2023

2022 15 violations

Tag 0584 D Aug 25, 2022

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.

✓ Corrected: Sep 28, 2022
Tag 0600 G Aug 25, 2022

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

✓ Corrected: Sep 28, 2022
Tag 0689 D Aug 25, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 28, 2022
Tag 0744 E Aug 25, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Sep 28, 2022
Tag 0760 D Aug 25, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 28, 2022
Tag 0812 F Aug 25, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 28, 2022
Tag 0849 D Aug 25, 2022

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Sep 28, 2022
Tag 0925 F Aug 25, 2022

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Sep 28, 2022
Tag 0561 D Feb 22, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Mar 22, 2022
Tag 0600 E Feb 22, 2022

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

✓ Corrected: Apr 29, 2022
Tag 0609 D Feb 22, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Mar 24, 2022
Tag 0658 D Feb 22, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 22, 2022
Tag 0689 G Feb 22, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 22, 2022
Tag 0744 D Feb 22, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Apr 29, 2022
Tag 0880 D Feb 22, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 19, 2022

2021 13 violations

Tag 0550 G Jun 15, 2021

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

✓ Corrected: Jul 22, 2021
Tag 0565 E Jun 15, 2021

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Jul 22, 2021
Tag 0585 D Jun 15, 2021

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.

✓ Corrected: Jul 22, 2021
Tag 0600 E Jun 15, 2021

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

✓ Corrected: Jul 22, 2021
Tag 0603 D Jun 15, 2021

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

✓ Corrected: Jul 22, 2021
Tag 0695 D Jun 15, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jul 22, 2021
Tag 0697 D Jun 15, 2021

Provide safe, appropriate pain management for a resident who requires such services.

Tag 0725 E Jun 15, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Jul 22, 2021
Tag 0744 E Jun 15, 2021

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Jul 22, 2021
Tag 0761 E Jun 15, 2021

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.

✓ Corrected: Jul 22, 2021
Tag 0804 E Jun 15, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jul 22, 2021
Tag 0814 F Jun 15, 2021

Dispose of garbage and refuse properly.

✓ Corrected: Jul 22, 2021
Tag 0880 E Jun 15, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 22, 2021

2020 2 violations

Tag 0880 E Dec 14, 2020

Provide and implement an infection prevention and control program.

Tag 0684 D May 18, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 10, 2020

2019 2 violations

Tag 0659 D Jun 3, 2019

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Jun 18, 2019
Tag 0745 D Jun 3, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Jun 18, 2019

2018 8 violations

Tag 0578 C Apr 5, 2018

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.

✓ Corrected: May 8, 2018
Tag 0645 D Apr 5, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: May 8, 2018
Tag 0657 D Apr 5, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 8, 2018
Tag 0677 D Apr 5, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 8, 2018
Tag 0744 D Apr 5, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: May 8, 2018
Tag 0758 D Apr 5, 2018

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.

✓ Corrected: May 8, 2018
Tag 0849 D Apr 5, 2018

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: May 8, 2018
Tag 0880 E Apr 5, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 8, 2018

2016 12 violations

Tag 0221 D Oct 20, 2016

Keep each resident free from physical restraints, unless needed for medical treatment.

✓ Corrected: Nov 22, 2016
Tag 0254 E Oct 20, 2016

Provide clean bed and bath linens that are in good condition.

✓ Corrected: Nov 22, 2016
Tag 0279 E Oct 20, 2016

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 22, 2016
Tag 0280 D Oct 20, 2016

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Nov 22, 2016
Tag 0285 D Oct 20, 2016

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

✓ Corrected: Nov 22, 2016
Tag 0314 D Oct 20, 2016

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Nov 22, 2016
Tag 0329 D Oct 20, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Nov 22, 2016
Tag 0371 E Oct 20, 2016

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Nov 22, 2016
Tag 0441 E Oct 20, 2016

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Nov 22, 2016
Tag 0469 F Oct 20, 2016

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Nov 22, 2016
Tag 0514 D Oct 20, 2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Nov 22, 2016
Tag 0520 F Oct 20, 2016

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

✓ Corrected: Nov 22, 2016
🏥 Facility Summary

PELICAN POINTE HEALTH AND REHABILITATION CENTER is a 1-star nursing home in WINDSOR, CO with 104 beds.

Most recent inspection: Data not available. No current violations on record.

📞 9706867474
📍 710 3RD ST, WINDSOR, CO
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About PELICAN POINTE HEALTH AND REHABILITATION CENTER

What violations has PELICAN POINTE HEALTH AND REHABILITATION CENTER received?
PELICAN POINTE HEALTH AND REHABILITATION CENTER has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of PELICAN POINTE HEALTH AND REHABILITATION CENTER?
PELICAN POINTE HEALTH AND REHABILITATION CENTER has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was PELICAN POINTE HEALTH AND REHABILITATION CENTER last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is PELICAN POINTE HEALTH AND REHABILITATION CENTER safe?
Safety at PELICAN POINTE HEALTH AND REHABILITATION CENTER should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact PELICAN POINTE HEALTH AND REHABILITATION CENTER?
Phone: 9706867474. Address: 710 3RD ST, WINDSOR, CO. For visiting hours and admission information, call the facility directly.
What services does PELICAN POINTE HEALTH AND REHABILITATION CENTER offer?
PELICAN POINTE HEALTH AND REHABILITATION CENTER is a skilled nursing facility with 104 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near WINDSOR, CO?
Compare PELICAN POINTE HEALTH AND REHABILITATION CENTER with other nursing homes in WINDSOR, CO on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.