All citations for Pelican Pointe Health and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pelican Pointe Health and Rehabilitation Center

Last standard health inspection on record

January 15, 2026

Showing 1 to 25 of 61 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

  2. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 19, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2026).

  3. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  4. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2022).

  5. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

    No follow-up visit needed (February 10, 2027).

  6. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

    No follow-up visit needed (August 10, 2026).

  7. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

  8. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

    No follow-up visit needed.

  9. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 15, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2026).

  10. No harm, with potential for more than minimal harm

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Widespread (many residents). CMS level F.

    Health citation F-0839, Administration Deficiencies. Inspection of July 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

  11. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of July 15, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

  12. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  13. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  14. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  15. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Widespread (many residents). CMS level F.

    Health citation F-0883, Infection Control Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  16. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  17. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Widespread (many residents). CMS level F.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  18. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Widespread (many residents). CMS level F.

    Health citation F-0944, Administration Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  19. No harm, with potential for more than minimal harm

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Widespread (many residents). CMS level F.

    Health citation F-0949, Administration Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  20. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  21. No harm, with potential for more than minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  22. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  23. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  24. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 12, 2024).

  25. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 28, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.