Skilled Nursing

PELICAN POINTE HEALTH AND REHABILITATION CENTER

710 3RD ST, WINDSOR, CO 80550

104beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

3.0h

Hrs/resident · weekday

Expected: 3.9h

3.5h

Hrs/resident · weekend

vs 3.0h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
42%
LPNs
CNAs
59%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0600Severity JJul 15, 2025

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

Corrected: Aug 8, 2025

31 standard deficiencies in the last 3 years

View all
0881Severity DJan 15, 2026

Implement a program that monitors antibiotic use.

0880Severity DJan 15, 2026

Provide and implement an infection prevention and control program.

0698Severity DJan 15, 2026

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

0686Severity DJan 15, 2026

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

0657Severity DJan 15, 2026

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

0605Severity DJan 15, 2026

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

0867Severity FJul 15, 2025

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

0839Severity FJul 15, 2025

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

0585Severity DFeb 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.

0880Severity EJun 10, 2024

Provide and implement an infection prevention and control program.

0689Severity EJun 10, 2024

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

0677Severity EJun 10, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0949Severity FDec 11, 2023

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

0944Severity FDec 11, 2023

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

0943Severity FDec 11, 2023

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

0908Severity FDec 11, 2023

Keep all essential equipment working safely.

0883Severity FDec 11, 2023

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

0880Severity FDec 11, 2023

Provide and implement an infection prevention and control program.

0867Severity FDec 11, 2023

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

0838Severity FDec 11, 2023

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.

0806Severity DDec 11, 2023

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

0761Severity DDec 11, 2023

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.

0744Severity EDec 11, 2023

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

0692Severity GDec 11, 2023

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

0660Severity DDec 11, 2023

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

0658Severity DDec 11, 2023

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

0609Severity DDec 11, 2023

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

0600Severity DDec 11, 2023

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

0585Severity DDec 11, 2023

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.

0684Severity DAug 7, 2023

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

0584Severity EAug 7, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

BELMONT RIDGE HEALTHCARE INC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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