PELICAN POINTE HEALTH AND REHABILITATION CENTER

710 3RD ST, WINDSOR, CO 80550 · CCN 065278 · 104 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-05-19 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-07-15 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-12-11 ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2022-08-25 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.90

state median 3.24

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.60

registered nurses only

Contract (agency) staff

20%

share of all nursing hours

Nursing staff turnover

54%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $71,640 in fines.

DateTypeAmount
2025-07-15Fine$28,780
2023-12-11Fine$30,862
2023-11-20Fine$3,529
2023-10-30Fine$8,469

Ownership

Ownership type: For profit - Corporation. Part of the THE ENSIGN GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 39 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-05-19F0684Quality of Life and Care DeficienciesGnot recorded
2026-05-19F0760Pharmacy Service DeficienciesDnot recorded
2026-05-19F0880Infection Control DeficienciesDnot recorded
2026-01-15F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-01-15F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2026-01-15F0686Quality of Life and Care DeficienciesDnot recorded
2026-01-15F0698Quality of Life and Care DeficienciesDnot recorded
2026-01-15F0880Infection Control DeficienciesDnot recorded
2026-01-15F0881Infection Control DeficienciesDnot recorded
2025-07-15F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-07-15F0839Administration DeficienciesFnot recorded
2025-07-15F0867Administration DeficienciesFnot recorded
2025-02-04F0585Resident Rights DeficienciesDnot recorded
2024-06-10F0677Quality of Life and Care DeficienciesEnot recorded
2024-06-10F0689Quality of Life and Care DeficienciesEnot recorded
2024-06-10F0880Infection Control DeficienciesEnot recorded
2023-12-11F0585Resident Rights DeficienciesDnot recorded
2023-12-11F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-12-11F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-12-11F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-12-11F0660Resident Assessment and Care Planning DeficienciesDnot recorded
2023-12-11F0692Quality of Life and Care DeficienciesGnot recorded
2023-12-11F0744Quality of Life and Care DeficienciesEnot recorded
2023-12-11F0761Pharmacy Service DeficienciesDnot recorded
2023-12-11F0806Nutrition and Dietary DeficienciesDnot recorded
2023-12-11F0838Administration DeficienciesFnot recorded
2023-12-11F0867Administration DeficienciesFnot recorded
2023-12-11F0880Infection Control DeficienciesFnot recorded
2023-12-11F0883Infection Control DeficienciesFnot recorded
2023-12-11F0908Environmental DeficienciesFnot recorded
2023-12-11F0943Freedom from Abuse, Neglect, and Exploitation DeficienciesFnot recorded
2023-12-11F0944Administration DeficienciesFnot recorded
2023-12-11F0949Administration DeficienciesFnot recorded
2023-08-07F0584Resident Rights DeficienciesEnot recorded
2023-08-07F0684Quality of Life and Care DeficienciesDnot recorded
2022-08-25F0584Resident Rights DeficienciesDnot recorded
2022-08-25F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2022-08-25F0689Quality of Life and Care DeficienciesDnot recorded
2022-08-25F0744Quality of Life and Care DeficienciesEnot recorded
2022-08-25F0760Pharmacy Service DeficienciesDnot recorded
2022-08-25F0812Nutrition and Dietary DeficienciesFnot recorded
2022-08-25F0849Administration DeficienciesDnot recorded
2022-08-25F0925Environmental DeficienciesFnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “PELICAN POINTE HEALTH AND REHABILITATION CENTER, WINDSOR” at medicare.gov/care-compare.