CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Colorado. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Pelican Pointe Health and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Windsor, Colorado with 104 certified beds. It has been operating since 1990. Its overall CMS rating is 1 out of 5.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Employ staff that are licensed, certified, or registered in accordance with state laws.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
+ 13 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CHOHAN, JAMEEL | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Sep 1, 2024 |
| JORGENSEN, DAVID | CORPORATE DIRECTOR | Individual | N/A | May 24, 2024 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | May 24, 2024 |
| GRAHAM, JOSEPH | CORPORATE OFFICER | Individual | N/A | May 24, 2024 |
| JORGENSEN, DAVID | CORPORATE OFFICER | Individual | N/A | May 24, 2024 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Mar 1, 2011 |
| SATO, AMI | CORPORATE OFFICER | Individual | N/A | Sep 9, 2024 |
| BURNAM, SOON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2024 |
| CHOHAN, JAMEEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 1, 2024 |
| HRIBAR, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 14, 2025 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | Sep 1, 2024 |
| SMV PROPERTY HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | Sep 1, 2024 |
| CHOHAN, JAMEEL | ADP OF THE SNF | Individual | N/A | Sep 1, 2024 |
| HRIBAR, KENNETH | ADP OF THE SNF | Individual | N/A | Oct 14, 2025 |
Compare CMS ratings and recorded fines for Pelican Pointe Health and Rehabilitation Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 346 facilities. View all →