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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 61st out of 172 homes in Colorado.Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
Most residents stay for extended periods and receive ongoing daily care.
13% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pelican Pointe Health and Rehabilitation Center is administrated by Hribar, Kenneth Asovalu.
In Colorado, the Department of Public Health and Environment, Health Facilities Division is the regulatory body that performs unannounced surveys and publishes facility inspection findings.
Colorado average 4.8
Last Health inspection on Jul 2025
Colorado average 24.8
Colorado average 5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
37 of 47 citations resulted from standard inspections; 9 of 47 resulted from complaint investigations; and 1 of 47 came from combined inspections (standard and complaint).
1
150% worse than Colorado average
Colorado average: 0.4
3
43% worse than Colorado average
Colorado average: 2.1
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 15, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 15, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jul 15, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Feb 04, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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| Pelican Pointe Health and Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Windsor | 104 | 77.7% | +2% | 3.98 | -11% | +3% | 3 | 47 | 6.7 | 4 | 83 | - | - | - | $13.3M | $4.2M | 31.8% | 65278 | ||||
| Adventhealth Avista | - |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Louisville | 114 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Adventhealth Castle Rock | - |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Castle Rock | 90 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Adventhealth Littleton | - |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Littleton | 231 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Adventhealth Parker | - |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Parker | 179 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
0.0 miles from city center
Estimated distance in miles from WINDSOR's city center to Pelican Pointe Health and Rehabilitation Center's address, calculated via Google Maps.
Add your location
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
52% better than Colorado average
Colorado average ratio: 1.91:1
0% compared with Colorado average
Colorado average: 8.3 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This role is partially covered by contractors.
Total hours from contractors
7,656 contractor hours this quarter
| Certified Nursing Assistant | 52 | 71 | 123 | 16,765 | 91 | 100% | 8.1 |
| Registered Nurse | 12 | 17 | 29 | 4,415 | 91 | 100% | 9.9 |
| Licensed Practical Nurse | 5 | 25 | 30 | 3,780 | 91 | 100% | 9.5 |
| Other Dietary Services Staff | 10 | 0 | 10 | 2,597 | 84 | 92% | 7.8 |
| Dental Services Staff | 4 | 0 | 4 | 1,299 | 75 | 82% | 8.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,246 | 65 | 71% | 8.8 |
| Dietitian | 2 | 0 | 2 | 978 | 70 | 77% | 7.9 |
| Medication Aide/Technician | 4 | 0 | 4 | 919 | 86 | 95% | 7.9 |
| Speech Language Pathologist | 4 | 0 | 4 | 892 | 70 | 77% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 585 | 65 | 71% | 9 |
| Physical Therapy Assistant | 6 | 0 | 6 | 543 | 62 | 68% | 6.8 |
| Nurse Aide in Training | 3 | 0 | 3 | 469 | 46 | 51% | 7.8 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 386 | 63 | 69% | 6.1 |
| Qualified Social Worker | 7 | 0 | 7 | 104 | 28 | 31% | 3.6 |
| Occupational Therapy Aide | 3 | 0 | 3 | 96 | 13 | 14% | 7.4 |
| Physical Therapy Aide | 3 | 0 | 3 | 49 | 9 | 10% | 5.4 |
| Administrator | 1 | 0 | 1 | 7 | 7 | 8% | 1 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 2 | 1 | 1% | 2.3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83
Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
19.2
112% worse than Colorado average
Colorado average: 9.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
36.4
93% worse than Colorado average
Colorado average: 18.8
Percent of long-stay residents whose need for help with daily activities has increased
38.7%
141% worse than Colorado average
Colorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
40.3%
137% worse than Colorado average
Colorado average: 17.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.1%
30% worse than Colorado average
Colorado average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
53% worse than Colorado average
Colorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
3.2%
19% better than Colorado average
Colorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.3%
79% better than Colorado average
Colorado average: 1.4%
Percent of long-stay residents who lose too much weight
8.6%
65% worse than Colorado average
Colorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
2.1%
71% better than Colorado average
Colorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
38.7%
106% worse than Colorado average
Colorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.4%
In line with Colorado average
Colorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.7%
In line with Colorado average
Colorado average: 94.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
73.2%
5% worse than Colorado average
Colorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
8.6%
512% worse than Colorado average
Colorado average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.9%
13% worse than Colorado average
Colorado average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
8% higher than Colorado average
Colorado average: $40K
35% more fines than Colorado average
Colorado average: 2.2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Colorado average
Colorado average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 20, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2023
Last updated: Jan 2026
Historical financial and operational data for Pelican Pointe Health and Rehabilitation Center based on CMS SNF Cost Reports.
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