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 21 of 21 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 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0744, 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).

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

    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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of February 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 19, 2025).

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

    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.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of December 11, 2023. Found during a standard inspection and a complaint inspection.

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

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

    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 D.

    Health citation F-0600, 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).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, 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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning 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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning 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

    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.

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

    Health citation F-0761, Pharmacy Service 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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of December 11, 2023. Found during a standard inspection.

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

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.