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Pelican Pointe Health And Rehabilitation Center

710 3rd St, Windsor, CO 80550
9706867474
Hours not listed yet
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Overall CMS Rating

1.0/5

vs State Average: 3.1 stars

1.0/5

Health Inspections

vs State Average: 2.7/5

4.0/5

Staffing Level

vs State Average: 3.1/5

3.0/5

Quality Measures

vs State Average: 4.2/5

3 penalties in last 3 years
Penalties
vs State Average: 1.5 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.7
National Average
2.8
5 Deficiencies found in last inspections
3 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
Jul 15, 2025 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J
Jul 15, 2025 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F
Jul 15, 2025 Employ staff that are licensed, certified, or registered in accordance with state laws. F
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. D
Jun 10, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable. E
Score
4.0
State Average
3.1
National Average
2.9
0.8 RN Hours / Resident / Day
3.8 Total Nurse Hours / Resident / Day
43.8% RN Turnover Rate
Score
3.0
State Average
4.2
National Average
3.6
3.0 Long-Stay QM Rating
Short-Stay QM Rating
82.8 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST ENDURA HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST THE ENSIGN GROUP INC
OPERATIONAL/MANAGERIAL CONTROL FUENTEZ, JOSEPH
CORPORATE DIRECTOR JORGENSEN, DAVID
CORPORATE OFFICER BURNAM, SOON
CORPORATE OFFICER GRAHAM, JOSEPH
CORPORATE OFFICER JORGENSEN, DAVID
CORPORATE OFFICER SATO, AMI
Recent Penalties
Date Type Fine
Dec 11, 2023 Fine $30,862
Nov 20, 2023 Fine $3,529
Oct 30, 2023 Fine $8,469

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