Nursing home

Pelican Pointe Health and Rehabilitation Center

710 3rd St, Windsor, CO, 80550

CMS ownership records associate this facility with The Ensign Group · For profit - Corporation.

CMS overall rating
CMS overall rating: 1 out of 51of 5

At a glance

CMS reports a 1-star overall rating for Pelican Pointe Health and Rehabilitation Center, with 40 inspection citations on record (3 higher severity). Federal records include $42,860 in the current dataset.
CMS overall
1
of 5
Health inspection
1
of 5
Staffing
4
of 5
Quality measures
3
of 5
Certified beds
104
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall1 of 5
Health inspection1 of 5
Staffing4 of 5
Quality measures3 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 1
15
Weld Co. avg 3.88Colorado avg 3.16This facility
This facility: 1 of 5. Weld Co. avg: 3.88. Colorado avg: 3.16.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

40
Citations on record
3
Higher severity (G–L)
10
From complaints
0
Infection control
Citations by inspection year
82022
192023
32024
42025
62026
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

3 records · $42,860 total · Oct 30, 2023–Dec 11, 2023
  1. Dec 11, 2023$30,862
  2. Nov 20, 2023$3,529
  3. Oct 30, 2023$8,469

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)38.34%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)4.27%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)4.73%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Graham, JosephCORPORATE OFFICER
Chohan, JameelMANAGING CONTROL - GOVERNING BODY
Fuentez, JosephMANAGING CONTROL - GOVERNING BODY
Jorgensen, DavidCORPORATE DIRECTOR
Burnam, SoonCORPORATE OFFICER
Jorgensen, DavidCORPORATE OFFICER
Sato, AmiCORPORATE OFFICER
Fuentez, JosephOPERATIONAL/MANAGERIAL CONTROL
Chohan, JameelADP OF THE SNF
Fuentez, JosephADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Weld County.

710 3rd St, Windsor
Weld County · CO · 80550
104 certified beds40.4728, -104.9000

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Lowry Hills Care and Rehabilitation
CCN 065001
Aurora, CO223Not shown$2,516
City Park Healthcare and Rehabilitation Center
CCN 065009
Denver, CO323Shown$12,735
Mountain Vista Health Center
CCN 065015
Wheat Ridge, CO113Shown$39,227
Amberwood Post Acute
CCN 065034
Denver, CO223Not shown$9,636
Boulder Post Acute
CCN 065052
Boulder, CO223Shown$9,113
Englewood Post Acute and Rehabilitation
CCN 065077
Englewood, CO443Not shown$17,696

Related research

Frequently asked questions

What is Pelican Pointe Health and Rehabilitation Center's CMS rating?

Pelican Pointe Health and Rehabilitation Center has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 1 for health inspections, 4 for staffing, and 3 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Pelican Pointe Health and Rehabilitation Center located?

Pelican Pointe Health and Rehabilitation Center is located at 710 3rd St, Windsor, CO, 80550 in Weld County, and CMS lists 104 certified beds.

Does Pelican Pointe Health and Rehabilitation Center have federal penalties or payment denials on record?

The CMS data includes $42,860 in federal fine amounts and 0 payment-denial records for Pelican Pointe Health and Rehabilitation Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Pelican Pointe Health and Rehabilitation Center's rating compare to nearby facilities?

Pelican Pointe Health and Rehabilitation Center's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 3.88 across 8 facilities in Weld County, and 3.16 across Colorado. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Pelican Pointe Health and Rehabilitation Center's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Pelican Pointe Health and Rehabilitation Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
065278
Ownership type
For profit - Corporation
Certified beds
104
Data snapshot
2026-07-17
All 40 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Jan 15, 20260605DStandardDeficient, Provider has date of correctionFeb 7, 2026
Jan 15, 20260657DStandardDeficient, Provider has date of correctionFeb 7, 2026
Jan 15, 20260686DStandardDeficient, Provider has date of correctionFeb 7, 2026
Jan 15, 20260698DStandardDeficient, Provider has date of correctionFeb 7, 2026
Jan 15, 20260880DStandardDeficient, Provider has date of correctionFeb 7, 2026
Jan 15, 20260881DStandardDeficient, Provider has date of correctionFeb 7, 2026
Jul 15, 20250600JComplaintDeficient, Provider has date of correctionAug 8, 2025
Jul 15, 20250839FComplaintDeficient, Provider has date of correctionAug 8, 2025
Jul 15, 20250867FComplaintDeficient, Provider has date of correctionAug 8, 2025
Feb 4, 20250585DComplaintDeficient, Provider has date of correctionFeb 19, 2025
Jun 10, 20240677EComplaintDeficient, Provider has date of correctionJun 12, 2024
Jun 10, 20240689EComplaintDeficient, Provider has date of correctionJun 11, 2024
Jun 10, 20240880EComplaintDeficient, Provider has date of correctionJun 11, 2024
Dec 11, 20230600DStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230609DStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230658DStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230660DStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230692GStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230744EStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230761DStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230806DStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230838FStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230867FStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230880FStandardDeficient, Provider has date of correctionDec 29, 2023
Dec 11, 20230883FStandardDeficient, Provider has date of correctionDec 29, 2023
Showing the 25 most recent of 40 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.