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PELICAN POINTE HEALTH AND REHABILITATION CENTER

710 3RD ST
WINDSOR, CO 80550 · 9706867474 · Weld County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds104
OwnershipFor profit - Corporation
State rank#192

By the numbers

43
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
3
Actual-harm (G/H/I)
$71,640
Federal fines (CMPs)
The trend: Citations are trending down — 9 in the most recent cycle versus 13 two cycles ago.

Recent Health Citations

May 19, 2026 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 19, 2026 · Health survey · F-tag 0760
D — No actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
May 19, 2026 · Health survey · F-tag 0684
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Details
Correction status: Corrected Jun 5, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Jan 15, 2026 · Health survey · F-tag 0881
D — No actual harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Jan 15, 2026 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 15, 2026 · Health survey · F-tag 0698
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Jan 15, 2026 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jan 15, 2026 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jan 15, 2026 · Health survey · F-tag 0605
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Jul 15, 2025 · Health survey · F-tag 0867
F — No actual harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Jul 15, 2025 · Health survey · F-tag 0839
F — No actual harm
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Jul 15, 2025 · Health survey · F-tag 0600
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Aug 8, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Feb 4, 2025 · Health survey · F-tag 0585
D — No actual harm
Resident Rights Deficiencies
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.
Jun 10, 2024 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 10, 2024 · Health survey · F-tag 0689
E — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 10, 2024 · Health survey · F-tag 0677
E — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 11, 2023 · Health survey · F-tag 0806
D — No actual harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Dec 11, 2023 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Dec 11, 2023 · Health survey · F-tag 0660
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Dec 11, 2023 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Colorado →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.