Establishment profile
PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC
710 3RD STREET, WINDSOR, CO, 80550
Operated by THE ENSIGN GROUP · 1 of 296 establishments
623312 — Assisted Living Facilities for the Elderly
Summary
PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC has accumulated 0 OSHA violations across 1 inspection over 4 years of recorded history.
The most recent federal enforcement activity was recorded 4 years ago.
Federal records were found in 2 of 15 sources. Sources without matching records returned empty for this establishment.
Agency coverage
PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls.
OSHA workplace safety
Peer comparison
Fewer violations than most other employers in NAICS 6233 within CO. Peer group: 48 employers. This establishment has 0 OSHA violations; peer median is 1.
Safety self-report (OSHA 300A)
No self-reported injury rates filed with OSHA's Injury Tracking Application for PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC. Verify directly with OSHA Injury Tracking Application →
Industry benchmark
BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.
OSHA severe injury reports
No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC. Verify directly with Occupational Safety and Health Administration →
Activity timeline
No federal enforcement activity has been recorded against this establishment in 4+ years. Most recent activity: 4 years ago. Data on this page is refreshed weekly.
Wage & Hour Division (WHD)
No WHD wage, overtime, or child-labor enforcement cases on file for PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC. Verify directly with Wage and Hour Division →
Mine safety (MSHA)
No MSHA mine safety violations on file for PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC. Verify directly with Mine Safety and Health Administration →
Labor relations (NLRB)
No NLRB unfair labor practice charges or union representation cases on file for PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC. Verify directly with National Labor Relations Board →
Visa & labor certification (OFLC) — historical
No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC. Verify directly with Office of Foreign Labor Certification →
Environmental compliance (EPA)
No EPA inspections or formal enforcement actions on file for PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC. Verify directly with Environmental Protection Agency →
CMS nursing-home record
CCN 065278 · Chain: THE ENSIGN GROUP
Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →
CMS Care Compare deficiencies
Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 43 citations across 8 surveys · 1 immediate jeopardy · 3 actual-harm · 13 complaint-triggered · 43 marked corrected.
| Survey date | F-Tag | Severity | Description | Type | Corrected |
|---|---|---|---|---|---|
| May 2026 | 0684 | G (harm) | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | Jun 2026 |
| May 2026 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Complaint | Jun 2026 |
| May 2026 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | Jun 2026 |
| Jan 2026 | 0605 | D | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard | Feb 2026 |
| Jan 2026 | 0657 | D | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies | Standard | Feb 2026 |
| Jan 2026 | 0686 | D | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Standard | Feb 2026 |
| Jan 2026 | 0698 | D | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies | Standard | Feb 2026 |
| Jan 2026 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Feb 2026 |
| Jan 2026 | 0881 | D | Implement a program that monitors antibiotic use. Infection Control Deficiencies | Standard | Feb 2026 |
| Jul 2025 | 0600 | J (IJ) | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Complaint | Aug 2025 |
| Jul 2025 | 0839 | F | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies | Complaint | Aug 2025 |
| Jul 2025 | 0867 | F | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies | Complaint | Aug 2025 |
| Feb 2025 | 0585 | D | 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. Resident Rights Deficiencies | Complaint | Feb 2025 |
| Jun 2024 | 0677 | E | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Complaint | Jun 2024 |
| Jun 2024 | 0689 | E | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Complaint | Jun 2024 |
| Jun 2024 | 0880 | E | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Complaint | Jun 2024 |
| Dec 2023 | 0692 | G (harm) | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0838 | F | 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. Administration Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0867 | F | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0880 | F | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0883 | F | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0908 | F | Keep all essential equipment working safely. Environmental Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0943 | F | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0944 | F | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0949 | F | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0744 | E | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0585 | D | 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. Resident Rights Deficiencies | Complaint | Dec 2023 |
| Dec 2023 | 0600 | D | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0609 | D | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0658 | D | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0660 | D | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0761 | D | 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. Pharmacy Service Deficiencies | Standard | Dec 2023 |
| Dec 2023 | 0806 | D | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies | Standard | Dec 2023 |
| Aug 2023 | 0584 | E | 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. Resident Rights Deficiencies | Complaint | Aug 2023 |
| Aug 2023 | 0684 | D | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies | Complaint | Aug 2023 |
| Aug 2022 | 0600 | G (harm) | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard | Sep 2022 |
| Aug 2022 | 0812 | F | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Sep 2022 |
| Aug 2022 | 0925 | F | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies | Standard | Sep 2022 |
| Aug 2022 | 0744 | E | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies | Standard | Sep 2022 |
| Aug 2022 | 0584 | D | 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. Resident Rights Deficiencies | Standard | Sep 2022 |
| Aug 2022 | 0689 | D | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Standard | Sep 2022 |
| Aug 2022 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard | Sep 2022 |
| Aug 2022 | 0849 | D | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies | Standard | Sep 2022 |
Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.
Federal contracts
This location
Federal contract dollars to this establishment. Primary NAICS: 623110 - NURSING CARE FACILITIES (SKILLED NURSING FACILITIES). Last action: 2024-07-23. Source: USAspending.gov, net obligations. Recipient address is the SAM registration / HQ address, not necessarily the worksite.
Inspection history
| Date | Trigger | Violations | Serious | Penalty | |
|---|---|---|---|---|---|
| 2022-06-06 | Monitoring | 0 | — | $0 |
Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.
In the news
Part of a larger organization
PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC is one of 296 establishments rolled up under the parent organization THE ENSIGN GROUP.
Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of THE ENSIGN GROUP across all 296 of its tracked locations is viewable on the parent profile.
Other employers in this industry and state
Other employers in assisted living facilities for the elderly within CO, ordered by federal enforcement volume:
- ALPINE LIVING CENTERTHORNTON — 2 federal enforcement records
- COLUMBINE COMMONS HEALTH & REHAB LLCWINDSOR — 1 federal enforcement record
- CrestviewColorado Springs — 1 federal enforcement record
- GREENFIELD MANAGEMENT SERVICES, INC.FORT COLLINS — 1 federal enforcement record
- WINDSOR LAKE HEALTHCARE INC.AURORA — 1 federal enforcement record
- HOLIDAY RETIREMENTGRAND JUNCTION — 1 federal enforcement record
- RGA Home Health Services Inc.Aurora — 1 federal enforcement record
- LAFAYETTE LEASING, LLCLAFAYETTE — 1 federal enforcement record
- FREMONT HOME CARE INC.CANON CITY — 1 federal enforcement record
- HEALTHCARE SERVICES GROUP, INC.FORT COLLINS — 1 federal enforcement record
Other locations under this parent
Other establishments operated by THE ENSIGN GROUP, ordered by federal enforcement volume:
- COLONIAL MANOR OF RANDOLPHRANDOLPH, NE — 2 federal enforcement records
- ARVADA CARE AND REHABILITATION CENTERARVADA, CO — 1 federal enforcement record
- OMAHA NURSING AND REHABILITATION CENTER, INC.OMAHA, NE — 1 federal enforcement record
- Oak View Health And RehabilitationConway, SC — 1 federal enforcement record
- COURTYARD HEALTH CARE CENTER, INC.DAVIS, CA — 1 federal enforcement record
- NEW ORANGE HILLS, INC.ORANGE, CA — 1 federal enforcement record
- THE HEALTHCARE RESORT OF KANSAS CITYKANSAS CITY, KS — 1 federal enforcement record
- RIVERBEND HEALTH AND REHABILITATION CENTER LLCLOVELAND, CO — 1 federal enforcement record
- CHANNEL ISLANDS POST-ACUTESANTA BARBARA, CA — 1 federal enforcement record
- WEST OAKS NURSING & REHABILITATION CENTERAUSTIN, TX — 0 federal enforcement records
Related searches
- All THE ENSIGN GROUP locationsParent rollup
- Assisted Living Facilities for the ElderlyAll employers in this industry
- Employers in COState-wide enforcement data
- Assisted Living Facilities in COIndustry × state cross-filter
About this data
This profile aggregates federal enforcement records on PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.
Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup THE ENSIGN GROUP, which operates 296 establishments in our dataset.
OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.
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Contact sales →Frequently asked
- What is PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC's OSHA violation history?
- PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC has 1 OSHA inspection on record with 0 violations and $0 in total penalties.
- How does PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC's safety record compare to its industry?
- PELICAN POINTE HEALTH AND REHABILITATION CENTER LLC operates in the assisted living facilities for the elderly industry. The industry average Total Recordable Incident Rate (TRIR) is 5.5.