Pelican Pointe Health and Rehabilitation

    710 3rd St, Windsor, CO, 80550
    3.5 · 48 reviews
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Kind staff, inconsistent care issues

    I found the staff to be genuinely kind, compassionate and dedicated-therapy/rehab, memory care, activities and dining were strong and the place felt homelike and clean despite being older. However care was inconsistent: chronic understaffing, high turnover and night-shift problems led to delayed responses, occasional neglect/poor nursing and management/favoritism concerns. Overall I'd recommend cautiously-great people, but expect staffing and facility limitations.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.50 · 48 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.7
    • Meals

      3.7
    • Amenities

      2.8
    • Value

      3.0

    Pros

    • Kind, compassionate, and helpful staff
    • Staff who genuinely care about residents' well-being
    • Prompt and thorough communication with families
    • Strong memory care / dementia unit
    • Effective rehabilitation and therapy services
    • Well-attended community events and activities
    • Good dining experience and special event meals
    • Clean and presentable facility in many reports
    • Welcoming admissions process and friendly intake staff
    • Pleasant, home-like atmosphere in parts of the facility
    • Nice dining hall, courtyard, and outdoor patios
    • Supportive volunteer experience and community involvement
    • In-house nurse available
    • Cohesive team and staff appreciation reported
    • Residents described as content and cared for

    Cons

    • Understaffing and frequent short staffing
    • Slow or delayed responses to call buttons and alarms
    • Inconsistent care across shifts, especially nights
    • Allegations of neglect, missed wound care, and hygiene lapses
    • Staff spending work time on cell phones
    • Reports of elder abuse and safety concerns, including specific alleged abuser
    • Unclear policies or inability of administration to provide policy (e.g., room cameras)
    • Inappropriate or poorly managed medication decisions
    • Dirty or unsanitary conditions reported by some (urine-soaked linens, smells)
    • High staff turnover, favoritism, and payroll/bonus complaints
    • Poor management behavior reported in some cases (rudeness, bullying)
    • Maintenance and facility updating needs
    • Meals and dining quality inconsistent per some reports
    • Allegations of serious clinical failures (delayed emergency response, omitted treatments)
    • Reports of fraud or poor employee training

    Summary review

    Overall sentiment is mixed and highly polarized. Many reviews praise individual staff members — CNAs, nurses, therapists, and management — as kind, compassionate, and genuinely invested in residents' well-being. Multiple commenters highlight strong memory care services, effective rehabilitation/therapy, meaningful community events (for example holiday dinners and themed activities), and a generally welcoming, home-like atmosphere in parts of the facility. Several reviewers describe the building and grounds positively (clean, neat, nice dining hall, courtyard/patios) and note prompt, thorough communication with families. Volunteers and family visitors frequently encountered helpful and pleasant staff, and some reviewers explicitly recommend the facility for dementia care or short-term rehab stays.

    However, an important and recurring counter-theme is severe operational and clinical inconsistency. Many reviews describe chronic understaffing and shift-dependent quality of care — night shifts are specifically called out as weaker in several accounts — which reviewers tie to slow or delayed responses to call buttons (one cited a 27-minute delay), infrequent bathing or hygiene care, and missed or delayed wound and bandage care. Several reports describe soaked linens, lingering odors, and rooms that are not attended to on expected schedules (for example rooms cleaned only weekly and alleged blood stains left for extended periods). These hygiene and maintenance lapses contrast sharply with the many accounts praising cleanliness, indicating a variable experience depending on unit, shift, or timeframe.

    There are multiple allegations of more serious clinical and safety failures. Some reviewers report delayed emergency responses, warnings from staff not to seek hospital care, and alleged omissions of critical treatments (antibiotics, oxygen), with at least a few accounts connecting care shortfalls to severe decline or death. Explicit allegations of elder abuse, neglect, and safety incidents appear several times — one review names an alleged traveling aide and requests charges, while others mention bullying nurses or staff who mistreat residents. In addition to abuse claims, there are complaints about staff conduct (use of cell phones during care, spending much of the day on phones), inappropriate medication practices (sleeping pills described as prescribed inappropriately), and at least one mention of suspected fraud or insufficient employee training. These are serious concerns that multiple reviewers raised, and they create a strong contrast with the generally positive descriptions of some staff and units.

    Management and organizational issues are another recurrent theme. Some families praise competent and respectful management and administration, noting excellent survey results and staff appreciation efforts. Yet other reviews allege favoritism, unfair treatment, withheld bonuses or pay issues, and high turnover. Several reviewers reported management being unable to provide clear policies (for example regarding room cameras), and some described rude or dismissive leadership behavior. This split suggests that administrative performance may vary by department or over time, contributing to inconsistent resident and family experiences.

    Dining, activities, and social engagement receive largely positive remarks: many reviewers celebrate good meals, decorated dining spaces, attentive staff during special dinners, and engaging activities including holiday events and a robust memory care program. Therapy and rehab are frequently singled out as effective, with attendees reporting meaningful recovery and attentive staff. These programmatic strengths appear to be among the facility’s consistent assets.

    In summary, the reviews depict a facility with clear strengths — compassionate caregivers, strong memory care and therapy programs, engaging activities, and a generally pleasant environment in many areas — but also serious and recurring problems related to staffing levels, inconsistent care across shifts, hygiene and wound care lapses, and multiple reports of safety and clinical failures. Potential residents and families should weigh the positive accounts of individualized, caring staff and strong therapy/memory care programs against repeated reports of understaffing, clinical neglect, and administrative inconsistency. Prospective families would be advised to ask targeted questions about staffing ratios by shift (especially nights), wound and infection control protocols, emergency response procedures, staff training and background checks, and the facility’s policies on monitoring and transparency (e.g., camera policies). Visiting multiple times and during different shifts will help capture the variability described in these reviews.

    Location

    Map showing location of Pelican Pointe Health and Rehabilitation

    About Pelican Pointe Health and Rehabilitation

    Windsor Health Care Center is a supportive environment dedicated to the health and well-being of its residents. The center understands the significance of regular medical appointments in maintaining overall wellness, which is why it provides reliable transportation services for residents. These services include the use of handicapped accessible vans, ensuring that every individual, regardless of mobility needs, has the ability to attend necessary appointments outside the facility. This thoughtful approach reflects Windsor Health Care Center’s commitment to comprehensive care and the quality of life for each resident.

    With a focus on providing a caring atmosphere, Windsor Health Care Center encourages both personal and professional growth. The organization seeks compassionate and qualified individuals who are interested in beginning a life-changing career within their team. This emphasis on attracting dedicated staff highlights the center’s core values of empathy and excellence in resident care.

    The overall environment at Windsor Health Care Center is designed to ensure that residents feel both comfortable and supported. The facility continually strives to meet the needs of those in its care, blending a homelike setting with the resources necessary for health and rehabilitation. By prioritizing accessibility, wellness, and skilled caregiving, Windsor Health Care Center aims to be a trusted choice for families seeking quality long-term care.

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