Lilisity

Nursing home

Pelican Pointe Health and Rehabilitation Center

710 3Rd St, Windsor, CO 80550 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 104 certified beds

Special Focus Facility candidate
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Pelican Pointe Health and Rehabilitation Center is a Medicare-certified nursing home in Windsor, Colorado. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.84 hours per resident per day, above the Colorado average of 3.70. Its most recent inspection on Dec 11, 2023 cited 20 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.

1 out of 5Overall CMS rating
1 out of 5Health inspections
4 out of 5Staffing
104 bedsCertified beds
  • CMS abuse iconThis facility has an active abuse icon on its CMS record.
  • Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
  • 3 fines totaling $42,860In CMS records: 3 total penalties.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing4/5
Quality measures3/5
Long-stay quality3/5
Short-stay qualityNo data

How Pelican Pointe Health and Rehabilitation Center compares

This facility vs. the Colorado and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityColorado avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.843.703.89above avg
RN staffing (hrs/resident/day)0.830.830.68below avg
Aide staffing (hrs/resident/day)2.532.202.34above avg
Nursing staff turnover57.9%48.6%46.4%above avg
Deficiencies cited, last inspection20.08.89.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.84Total nurse hrs/resident/day
0.83RN hrs/resident/day
0.48LPN hrs/resident/day
2.53Aide hrs/resident/day
3.42Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff57.9%
Registered nurses43.8%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Dec 11, 2023Most recent inspection
20Deficiencies found
295Health inspection score
3Fines

Penalties in CMS records: 3 fines totaling $42,860, 3 total penalties.

What inspectors found at Pelican Pointe Health and Rehabilitation Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Implement a program that monitors antibiotic use.

    Infection Control Deficiencies · Jan 15, 2026 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jan 15, 2026 · Full report (PDF)
  • Potential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF)
  • Potential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care Deficiencies · Jan 15, 2026 · Full report (PDF)
  • Potential for harm

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

    Resident Assessment and Care Planning Deficiencies · Jan 15, 2026 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 15, 2026 · Full report (PDF)
  • Immediate jeopardy

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 15, 2025 · Full report (PDF)
  • Potential for harm

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

    Administration Deficiencies · Jul 15, 2025 · Full report (PDF)
  • Potential for harm

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Administration Deficiencies · Jul 15, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Feb 4, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jun 10, 2024 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Jun 10, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
710 3Rd St
Windsor, CO 80550
CMS certification #
065278
Ownership
For profit - Corporation
Certified beds
104
Avg residents/day
82.8
Provider type
Medicare and Medicaid
First certified
1990-06-01
Chain
The Ensign Group (329 facilities)
Setting
Urban

Part of The Ensign Group

The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Pelican Pointe Health and Rehabilitation Center using Google Maps.

Other public records

  • Website says Nurse 24 hours a day
  • Workplace safety 2 OSHA workplace safety inspections since 2016, 6 violations cited
Full public records, with dates and sources

Care and services

From the community’s website

What Pelican Pointe Health and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Nurse on site: 24 hours a day. Our Nursing staff provides 24-hour, round-the-clock care for our residents under the direction of our in-house physicians. (page, checked Oct 12, 2026)

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Jun 6, 2022: monitoring inspection, partial (health). Case closed Oct 17, 2022. No violations cited. OSHA record. OSHA recorded the employer as Pelican Pointe Health and Rehabilitation Center LLC.
  • Mar 8, 2016: complaint inspection, complete (health). Case closed Sep 30, 2016. 6 violations cited (3 serious, 3 other). Penalties: $11,475 proposed, $8,263 now. OSHA record. OSHA recorded the employer as SSC Windsor Operating Company, LLC. Matched by street address; the name OSHA recorded differs from the community's.
    Details
    • Serious: Electrical equipment and installation (1910.303(g)(1)(iii)). Penalty $2,295 proposed, $1,607 now. To be fixed by Aug 27, 2016.
    • Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(iv)(b)). Penalty $3,060 proposed, $2,142 now. To be fixed by Aug 27, 2016.
    • Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(d)(2)(vii)(a)). Penalty $2,295 proposed, $1,607 now. To be fixed by Aug 27, 2016.
    • Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(f)). Penalty $3,060 proposed, $2,142 now. To be fixed by Aug 27, 2016.
    • Other than serious: Recording work-related injuries and illnesses (1904.7(b)(4)). Penalty $765 proposed, $765 now. To be fixed by Aug 27, 2016.
    • Other than serious: Injury and illness log forms (OSHA 300 and 301) (1904.29(b)(3)). Penalty $0 proposed, $0 now. To be fixed by Aug 27, 2016.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Banner Fort Collins Medical Center, Fort Collins. 5.8 miles away, straight line. Location approximate.
Nearest Medicare nursing home
Columbine Commons Health and Rehab LLC, Windsor. 1.6 miles away, straight line.
Nearest home health agency office
Tender Hearts Home Healthcare LLC, Windsor. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Good Day Pharmacy. 6.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 80550 as metropolitan (metropolitan core).
Dialysis within 15 miles
Northern Colorado Home Therapy Dialysis (Fmc), Loveland, 6.9 miles away, straight line (CMS rating 5 of 5 stars)
062593-Fresenius Kidney Care Poudre Valley Dialysis, Fort Collins, 8.6 miles away, straight line (CMS rating 4 of 5 stars)
Davita Loveland Central Dialysis, Loveland, 8.8 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
9 Medicare hospices tell CMS they serve ZIP code 80550.
Accentcare Of Colorado, office in Loveland, 5.2 miles away, straight line (CMS family survey rating 2 of 5 stars)
Canyon Home Care & Hospice Of Loveland, office in Loveland, 7.0 miles away, straight line
Banner Hospice Of Northern Colorado, office in Greeley, 7.4 miles away, straight line (CMS family survey rating 2 of 5 stars)
Nearest geriatric medicine practice
Boulder Community Health, Longmont. 25.8 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Pelican Pointe Health and Rehabilitation Center a good nursing home?

CMS gives Pelican Pointe Health and Rehabilitation Center an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Pelican Pointe Health and Rehabilitation Center staffed?

Pelican Pointe Health and Rehabilitation Center reports 3.84 total nurse hours per resident per day, compared with the Colorado average of 3.70.

Has Pelican Pointe Health and Rehabilitation Center had inspection problems?

Its most recent CMS inspection cited 20 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.

How many beds does Pelican Pointe Health and Rehabilitation Center have?

Pelican Pointe Health and Rehabilitation Center is certified for 104 beds.