Facility profile · CCN 065278
Pelican Pointe Health And Rehabilitation Center
47 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $42,860.
Record summary
Federal record · Q1 202647
Total citations
26
Last 3 years
4
Actual harm+
3
Federal penalties
$42,860
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
47 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 15, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint |
| Jul 15, 2025 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | F | Complaint |
| Jul 15, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Feb 4, 2025 | F585 | 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. | D | Complaint |
| Jun 10, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jun 10, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Jun 10, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 11, 2023 | F585 | 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. | D | Complaint |
| Dec 11, 2023 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard |
| Dec 11, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard |
| Dec 11, 2023 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Standard |
| Dec 11, 2023 | F908 | Keep all essential equipment working safely. | F | Standard |
| Dec 11, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | Standard |
| Dec 11, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Dec 11, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Dec 11, 2023 | F838 | 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. | F | Standard |
| Dec 11, 2023 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Dec 11, 2023 | F761 | 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. | D | Standard |
| Dec 11, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard |
| Dec 11, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Standard |
| Dec 11, 2023 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Dec 11, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Dec 11, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Dec 11, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Aug 7, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 7, 2023 | F584 | 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. | E | Complaint |
| Aug 25, 2022 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Aug 25, 2022 | F849 | 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. | D | Standard |
| Aug 25, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 25, 2022 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Aug 25, 2022 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard |
| Aug 25, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 25, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard |
| Aug 25, 2022 | F584 | 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. | D | Standard |
| Jun 15, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 15, 2021 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Jun 15, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jun 15, 2021 | F761 | 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. | E | Standard |
| Jun 15, 2021 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard |
| Jun 15, 2021 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Jun 15, 2021 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Jun 15, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jun 15, 2021 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Standard |
| Jun 15, 2021 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard |
| Jun 15, 2021 | F585 | 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. | D | Standard |
| Jun 15, 2021 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jun 15, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $42,860 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Dec 11, 2023 | Fine | $30,862 | — |
| Nov 20, 2023 | Fine | $3,529 | — |
| Oct 30, 2023 | Fine | $8,469 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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