All citations for Pelican Pointe Post Acute Nursing & Rehabilitation

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 Post Acute Nursing & Rehabilitation

Last standard health inspection on record

March 24, 2025

Showing 1 to 19 of 19 citations

Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level J.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 24, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
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 March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
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 March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
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 March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Isolated (one or a few residents). CMS level D.
Health citation F-0558, Resident Rights Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
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.
Isolated (one or a few residents). CMS level D.
Health citation F-0584, Resident Rights Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Isolated (one or a few residents). CMS level D.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
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 March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Dispose of garbage and refuse properly.
Isolated (one or a few residents). CMS level D.
Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 24, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2025).

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.