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HomeColoradoPelican Pointe Health and Rehabilitation Center

Pelican Pointe Health and Rehabilitation Center

710 3rd St, Windsor, CO 805509706867474WebsiteGoogle Maps
3.9on Google(42 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
4/5
Quality
3/5
Beds
104
certified
This facility has been flagged for abuse.
4 fine(s) totaling $71,640

How Pelican Pointe Health and Rehabilitation Center Compares in Colorado

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.

CMS overall rating
1/5
CO average
3.1/5
Below state average
Health inspection rating
1/5
CO average
2.7/5
Below state average
Staffing rating
4/5
CO average
3.1/5
Above state average
Nursing hours per resident
3.33 hrs/day
CO average
3.72 hrs/day
Below state average
RN hours per resident
0.84 hrs/day
CO average
0.83 hrs/day
Close to state average
Staff turnover
53.7%
CO average
47.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Colorado average of 3.1/5.
Its 1/5 health inspection rating is below the Colorado average of 2.7/5.
Reported nursing time is 3.33 hours per resident per day, below the state average of 3.72.
Staff turnover is 53.7%, higher than the Colorado average of 47.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
23
deficiency citations
Inspected Dec 11, 2023
Most recent cycle
12
deficiency citations
Inspected Jan 15, 2026
The most recent cycle recorded 11 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$9,581/mo
Colorado median
Private Room
$11,101/mo
Colorado median
Weld County 65+
41,300
12.5% of county
County Population
331,466
Weld County

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.

Beds
104
Avg Residents/Day
85.5
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 1990
Sprinklers
Yes
Council
Both
County
Weld
Last Inspection
Jan 15, 2026
Deficiencies (Cycle 1)
12
Weighted Score
176.3
Infection Citations
0

Deficiency Citations (43)

F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 19, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 19, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 19, 2026Corrected: NoCycle: 1
F0605Potential for Harm

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

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0657Potential 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.

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0698Potential for Harm

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

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Jan 15, 2026Corrected: NoCycle: 1
F0600Immediate Jeopardy

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

Survey: Jul 15, 2025Corrected: NoCycle: 1
F0839Potential for Harm

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

Survey: Jul 15, 2025Corrected: NoCycle: 1
F0867Potential for Harm

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

Survey: Jul 15, 2025Corrected: NoCycle: 1
F0585Potential 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.

Survey: Feb 4, 2025Corrected: NoCycle: 2
F0692Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0838Potential for Harm

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.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0867Potential for Harm

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

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0944Potential for Harm

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0744Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0585Potential 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.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0600Potential for Harm

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

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0660Potential for Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Dec 11, 2023Corrected: NoCycle: 2
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Dec 11, 2023Corrected: NoCycle: 2

+ 13 more deficiencies

Total Fines
$71,640
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineNov 20, 2023
$3,529
FineOct 30, 2023
$8,469
FineJul 15, 2025
$28,780
FineDec 11, 2023
$30,862

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.12 hrs
National avg: 2.32 hrs
LPN0.36 hrs
National avg: 0.86 hrs
RN0.84 hrs
National avg: 0.69 hrs
Total Nursing3.33 hrs
National avg: 3.86 hrs
Weekend Total2.97 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
53.7%
RN Turnover
31.6%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
CHOHAN, JAMEELMANAGING CONTROL - GOVERNING BODYIndividualN/ASep 1, 2024
JORGENSEN, DAVIDCORPORATE DIRECTORIndividualN/AMay 24, 2024
BURNAM, SOONCORPORATE OFFICERIndividualN/AMay 24, 2024
GRAHAM, JOSEPHCORPORATE OFFICERIndividualN/AMay 24, 2024
JORGENSEN, DAVIDCORPORATE OFFICERIndividualN/AMay 24, 2024
KEETCH, CHADCORPORATE OFFICERIndividualN/AMar 1, 2011
SATO, AMICORPORATE OFFICERIndividualN/ASep 9, 2024
BURNAM, SOONOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2024
CHOHAN, JAMEELOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2024
HRIBAR, KENNETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 14, 2025
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/ASep 1, 2024
SMV PROPERTY HOLDINGS LLCADP OF THE SNFOrganizationN/ASep 1, 2024
CHOHAN, JAMEELADP OF THE SNFIndividualN/ASep 1, 2024
HRIBAR, KENNETHADP OF THE SNFIndividualN/AOct 14, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Pelican Pointe Health and Rehabilitation Center and nearby alternatives.

All Colorado facilities
Pelican Pointe Health and Rehabilitation Center
Windsor, COCurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $71,640
Columbine Commons Health and Rehab LLC
Windsor, CO1.6 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Grace Pointe Cont Care Sr Campus, Skilled Nursing
Greeley, CO7.3 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Center at Centerplace, Llc, the
Greeley, CO8.6 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $39,384
Lemay Avenue Health and Rehab LLC
Fort Collins, CO9.0 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: $7,443
Life Care Center of Greeley
Greeley, CO9.0 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $12,285
Westlake Health and Rehabilitation Center
Greeley, CO9.9 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $14,069
FacilityDistanceCMSHealthStaffingRecorded fines
Pelican Pointe Health and Rehabilitation Center
Windsor, CO · Current facility
—1/51/54/5$71,640
Columbine Commons Health and Rehab LLC
Windsor, CO
1.6 mi5/55/53/5None recorded
Grace Pointe Cont Care Sr Campus, Skilled Nursing
Greeley, CO
7.3 mi5/54/55/5None recorded
Center at Centerplace, Llc, the
Greeley, CO
8.6 mi2/52/53/5$39,384
Lemay Avenue Health and Rehab LLC
Fort Collins, CO
9.0 mi5/55/53/5$7,443
Life Care Center of Greeley
Greeley, CO
9.0 mi5/54/54/5$12,285
Westlake Health and Rehabilitation Center
Greeley, CO
9.9 mi4/54/52/5$14,069

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.

Frequently Asked Questions

What is the CMS rating for Pelican Pointe Health and Rehabilitation Center?▾
Pelican Pointe Health and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Pelican Pointe Health and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Colorado is $9,581/month for a semi-private room and $11,101/month for a private room (Genworth/CareScout 2024). Pelican Pointe Health and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Pelican Pointe Health and Rehabilitation Center had any health inspection violations?▾
Pelican Pointe Health and Rehabilitation Center had 12 deficiency citations in its most recent health inspection (Jan 15, 2026). The current CMS dataset records 4 fine(s) totaling $71,640.
What are the staffing levels at Pelican Pointe Health and Rehabilitation Center?▾
Pelican Pointe Health and Rehabilitation Center provides 3.33 total nursing staff hours per resident per day, including 0.84 RN hours, 0.36 LPN hours, and 2.12 nurse aide hours. The total staff turnover rate is 53.7%.
How many beds does Pelican Pointe Health and Rehabilitation Center have?▾
Pelican Pointe Health and Rehabilitation Center has 104 certified beds with an average of 85.5 residents per day, resulting in approximately 82% occupancy. The facility is For profit - Corporation owned and is part of the The Ensign Group chain.
Are there other nursing homes near Pelican Pointe Health and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Colorado, including 1 in Windsor. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Pelican Pointe Health and Rehabilitation Center?▾
On Google Maps, Pelican Pointe Health and Rehabilitation Center has a rating of 3.9 out of 5 based on 42 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →