Pelican Pointe Healthcare and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Pelican Pointe Healthcare and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF849Jun 18, 2024

  Based on interviews and record reviews, the facility failed to coordinate hospice care services for 4 (#1, #2, #3, and #R1) out of 4 (#1, #2, #3, and #R1) residents reviewed for hospice care. The facility failed to: 1. allow Residents #1, #2, #R1 and or their RP (Responsible Party) the choice of hospice provider. 2. obtain the initial certification and or most recent recertification of terminal illness and most recent hospice POC (plan of care) for Residents #1, #2, #3, and #R1, and 3. […]

• No harm, potential for more than minimal, widespreadF886Aug 5, 2021

  Based on interviews and record reviews; the facility failed to immediately conduct outbreak testing in response to a newly identified case of COVID-19 in staff. This deficient practice had the potential to affect 115 residents. Findings: During an interview on [DATE] at 8:45 AM, upon entrance to the facility, S1ADM stated that one employee had tested positive for COVID-19 on Friday, [DATE] and that all staff and residents were being tested today. Review of the facility's list of staff and residents who had tested positive for COVID-19 revealed that the last positive case was identified in a staff member on [DATE]. Review of the facility's policy titled COVID-19 Testing Policy and Procedure stated: Procedure: 1. […]

• No harm, potential for more than minimal, patternF580Sep 14, 2022

  Based on interview and record review, the facility failed to ensure the physician was notified of blood sugar readings less than 69 as ordered by the physician for Resident #68. This deficient practice was identified for 1 (Resident #68) out of 23 final sampled residents. Findings: Review of the facility's policy titled Notification Requirement Policy and Procedure read in part . 1. Nursing services/designee shall be responsible for notifying the resident's physician and family when the following occurs: .b. There is a significant change in the resident's physical, mental, or emotional status .e. […]

• No harm, potential for more than minimal, isolatedF578Oct 1, 2025

  Based on record reviews, interviews, and review of the facility's policies and procedures, the facility failed to ensure staff implemented the facility's policy for advanced directives for 1 (#95) of 1 (#95) resident investigated for advance directives. Findings:On 09/29/2025, a review of the facility's policy titled Advance Directives Policy and Procedure with a last reviewed date of 02/14/2025, read in part, Policy: The facility will adhere to state and federal regulations regarding advance directives.1. Resident and/or responsible party will be notified upon admission of resident's right to accept or refuse medical or surgical treatment and, at the resident's option, formulate an advance directive. A. The facility will complete LaPOST with residents if applicable.3. […]

• No harm, potential for more than minimal, isolatedF726Oct 1, 2025

  Based on observation, interviews, and record reviews, the facility failed to ensure that nurses possessed competencies and skill sets necessary to provide nursing services to meet the residents' needs safely as evidenced by S2LPN (Licensed Practical Nurse) failing to administer medications according to the facility's policies and procedures and rights of medication administration. Findings:A review of the facility's policy titled, Medications - Administration Policy and Procedure with a last review date of 06/27/2025, reads in part, Purpose: To administer medications to residents as prescribed by physicians. Policy: To administer medications in a safe and effective manner. Procedure: . 3. […]