Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PELICAN POINTE HEALTH AND REHABILITATION CENTER

WINDSOR, CO · 104 certified beds · Last Life Safety survey January 15, 2026

CMS Certification Number 065278 · first certified June 1990

Ownership

Operated by THE ENSIGN GROUP · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within CO

19 citations — more than 58% of the 210 certified nursing homes in CO. Compared within CO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was January 2026. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 19 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

10 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0908 Keep all essential equipment working safely.
  • F-0584 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.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in CO, and nationally. Surveyors differ markedly between states, so the CO figure is the meaningful one.

This facility19CO median16National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in CO16
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0862023-12122026-01
Citations at each Life Safety survey
Survey dateCitations
August 25, 20221
December 11, 20236
January 15, 202612

Most-cited tags

Most-cited tags at this facility
K-05212E-00361K-09141K-03531K-09271K-09181K-05001K-01611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22026-01-15
E-0036Establish emergency prep training and testing.12023-12-11
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-12-11
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-01-15
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.12026-01-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.12026-01-15
K-0500Meet other general requirements that are deficient.12026-01-15
K-0161Use approved construction type or materials.12026-01-15

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 4
  • Services Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies4
Services Deficiencies3
Egress Deficiencies2
Construction Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 15, 2026 — 12 citations

Citations issued on January 15, 2026
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.No revisit needed (February 10, 2027)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 9, 2026)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (March 9, 2026)
K-0351Install an approved automatic sprinkler system.No revisit needed (August 10, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 20, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.No revisit needed (February 10, 2027)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (March 11, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.No revisit needed
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 25, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 6, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 10, 2026)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (March 27, 2026)

December 11, 2023 — 6 citations

Citations issued on December 11, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 29, 2023)
E-0029Develop a communication plan.Deficient, Provider has date of correction (December 29, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (December 29, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (December 29, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 12, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (January 12, 2024)

August 25, 2022 — 1 citation

Citations issued on August 25, 2022
TagWhat the surveyor checksStatus
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.