Winding Trails Post Acute

Nursing Home, Hospice Care & Respite Care · Boulder, CO

CMS overall rating

2800 Palo Pkwy, Boulder, CO 80301-1540 View map

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Winding Trails Post Acute accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Winding Trails Post Acute accepts Medicare, Medicaid, and private pay.

Overview of Winding Trails Post Acute

Winding Trails Post Acute is a 150-bed skilled nursing facility that shapes its operations around physical recovery and short-term placement. The home logs a brief 45-day average length of stay and processes payments through Medicare, Medicaid, and private-pay sources. Built right in the city center, the property boasts a walkability score of 98 out of 100, which means visiting guests and staff can walk to nearby restaurants, shops, and errands. This central location also provides direct geographic ties to local healthcare networks like Foothills Hospital.

State data points to a wide range of on-site medical specialists and steady daily care routines. On average, the nursing staff provides 3 hours and 40 minutes of direct care per resident each day under a 24-hour staffing schedule. This team works alongside an interdisciplinary group that includes speech-language pathologists, physical and occupational therapists, respiratory technicians, a nurse practitioner, a clinical nurse specialist, and a dietitian. Looking at the paperwork side, Colorado state inspection logs show that regulators have previously cited the facility for deficiencies involving resident rights, quality of care, and general administrative protocols, with the operator making corrections after each review.

Prospective residents looking at short-term physical rehabilitation or post-hospital recovery spaces can check these state health filings to assess the property’s clinical structure. The official documents show a short-stay facility that offers a broad team of therapy professionals and excellent neighborhood walkability, balanced against typical regulatory adjustments in administrative and care charting.

Facility Direct Line (303) 440-9100

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Colorado state averages

Total nursing care / resident

3h 40m per day

This facility Colorado avg (3h 52m per day)

vs Colorado avg

-5%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +28% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	35m per day	▼ 30% State avg: 50m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	53m per day	▲ 28% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 49m per day	▼ 17% State avg: 2h 12m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 2m per day	▼ 7% State avg: 3h 16m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 88% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	20m per day	▼ 45% State avg: 36m per day · National avg: 28m per day

Capacity and availability

45 days

150-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 98 / 100

Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

About this community

Occupancy

Occupancy rate

24%

Lower than the Colorado average: 76.5%

Occupied beds

35 / 150

Average occupied beds in Colorado homes 72 beds

Facility TypeSkilled Nursing Facility / Nursing Facility Dual Certification

StatusActive

CMS Certification Number065267

Winding Trails Post Acute is administered by Jihan Boughman.

Owner NamePalo Community Healthcare, LLC

Rehabilitation Services

Short-Term Rehab

24-Hour Staffing

Inspections since 2022

Total health inspections 7

Colorado average 4.8

Last Health inspection on Nov 2024

Total health citations

Colorado average 24.8

Citations per inspection

9.71

Colorado average 5.2

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

46 of 68 citations resulted from standard inspections; 20 of 68 resulted from complaint investigations; and 2 of 68 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

1150% worse than Colorado average

Colorado average: 0.4

Serious health citations

281% worse than Colorado average

Colorado average: 2.1

5 critical citations Colorado average: 0.4

8 serious citations Colorado average: 2.1

55 moderate citations Colorado average: 22.2

0 minor citations Colorado average: 0.2

Citations history (last 4 years)

Administration moderate citation Nov 21, 2024

Corrected

Nutrition moderate citation Nov 21, 2024

Corrected

Quality of Care moderate citation Nov 21, 2024

Corrected

Quality of Care moderate citation Nov 21, 2024

Corrected

Total staff 144

Employees 77

Contractors 67

Staff to resident ratio 1.82 : 1

0% compared with Colorado average

Avg staff/day 38

Average shift 8.8 hours

6% better than Colorado average

Total staff hours (quarter) 30,858

Nursing staff breakdown

9.4 hours

9.8 hours

9.4 hours

Contractor staffing

2,844 contractor hours this quarter

Certified Nursing Assistant: 49 Licensed Practical Nurse: 6 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Qualified Social Worker: 2

Staff by category


Certified Nursing Assistant	34	49	83	14,330	92	100%	9.4
Licensed Practical Nurse	15	6	21	6,897	92	100%	9.8
Registered Nurse	9	0	9	3,562	92	100%	9.4
Other Dietary Services Staff	3	0	3	1,173	90	98%	7.9
Dental Services Staff	3	0	3	1,070	74	80%	7.5
Speech Language Pathologist	1	2	3	617	66	72%	7.1
Nurse Practitioner	1	0	1	520	65	71%	8
Administrator	2	0	2	512	64	70%	8
Clinical Nurse Specialist	1	0	1	512	64	70%	8
Dietitian	1	0	1	512	64	70%	8
Physical Therapy Aide	2	2	4	460	56	61%	6.5
Occupational Therapy Aide	1	0	1	371	53	58%	7
Qualified Social Worker	2	2	4	196	54	59%	3.4
Respiratory Therapy Technician	2	3	5	81	30	33%	2.4
Physical Therapy Assistant	0	3	3	48	27	29%	1.7

83 Certified Nursing Assistant

% of Days 100%

21 Licensed Practical Nurse

% of Days 100%

9 Registered Nurse

% of Days 100%

3 Other Dietary Services Staff

% of Days 98%

3 Dental Services Staff

% of Days 80%

3 Speech Language Pathologist

% of Days 72%

1 Nurse Practitioner

% of Days 71%

2 Administrator

% of Days 70%

1 Clinical Nurse Specialist

% of Days 70%

1 Dietitian

% of Days 70%

4 Physical Therapy Aide

% of Days 61%

1 Occupational Therapy Aide

% of Days 58%

4 Qualified Social Worker

% of Days 59%

5 Respiratory Therapy Technician

% of Days 33%

3 Physical Therapy Assistant

% of Days 29%

View All Staffing Data in Boulder

Total fines amount $102K

157% higher than Colorado average

Colorado average: $40K

Number of fines 2

10% fewer fines than Colorado average

Colorado average: 2.2

Payment Denials 1

276% more payment denials than Colorado average

Colorado average: 0.3

Fines amount comparison

This facility $102K

Colorado average $40K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Mar 7, 2024

$91K

Payment Denial Mar 7, 2024

85 days

Last updated: Jan 2026

High-risk clinical events score 8.1

11% better than Colorado average

Colorado average: 9.0

Functional decline score 18.4

In line with Colorado average

Colorado average: 18.8

Long-stay resident measures

Significantly above average Colorado avg: 3.9

Need for Help with Daily Activities Increased 14.5%

9% better than Colorado average

Colorado average: 16.0%

Walking Ability Worsened 15.3%

10% better than Colorado average

Colorado average: 17.0%

Low Risk Residents with Bowel/Bladder Incontinence 25.4%

9% worse than Colorado average

Colorado average: 23.2%

Falls with Major Injury 1.8%

45% better than Colorado average

Colorado average: 3.3%

High Risk Residents with Pressure Ulcers 7.0%

81% worse than Colorado average

Colorado average: 3.9%

Urinary Tract Infection 1.1%

22% better than Colorado average

Colorado average: 1.4%

Lost Too Much Weight 1.6%

69% better than Colorado average

Colorado average: 5.2%

Depressive Symptoms 1.8%

76% better than Colorado average

Colorado average: 7.2%

Antipsychotic Use 17.9%

5% better than Colorado average

Colorado average: 18.8%

Pneumococcal Vaccine 84.3%

10% worse than Colorado average

Colorado average: 93.3%

Influenza Vaccine 78.7%

17% worse than Colorado average

Colorado average: 94.7%

Hospitalizations per 1,000 days 1.45

12% worse than Colorado average

Colorado average: 1.30

ED visits per 1,000 days 0.93

44% better than Colorado average

Colorado average: 1.67

Short-stay resident measures

Above average Colorado avg: 2.7

Pneumococcal Vaccine 61.8%

19% worse than Colorado average

Colorado average: 76.6%

Antipsychotic medication increase 5.5%

292% worse than Colorado average

Colorado average: 1.4%

Influenza Vaccine 60.2%

20% worse than Colorado average

Colorado average: 75.6%

Re-hospitalized after SNF stay 23.1%

14% worse than Colorado average

Colorado average: 20.3%

Emergency department visits 7.7%

40% better than Colorado average

Colorado average: 12.8%

Falls with major injury 0.0%

100% better than Colorado average

Colorado average: 0.8%

Ability to care for self at discharge 68.2%

27% better than Colorado average

Colorado average: 53.7%

Successful return to home or community 47.5%

6% worse than Colorado average

Colorado average: 50.6%

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

61% of new residents, often for short stays.

Typical stay 29 days

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Total residents 79

Medicare

6.3% of residents

Medicaid

48.1% of residents

Private pay or other

45.6% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Winding Trails Post Acute from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 38.8% ↓ 8.9pp vs 2022

Net Patient Income -$3.5M ↑ ~$1.6M vs 2022

Payroll Costs $2.1M ↓ ~$1.9M vs 2022

Operating Margin -91.8% ↓ 30.8pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	74.9%	78.0%	79.0%	81.5%	81.4%	83.3%	77.3%	83.1%	80.4%	57.9%	47.7%	38.8%
Beds	150	150	150	150	150	150	150	150	150	150	150	150
Net Income	-$121,243	$899,871	$1,049,086	$1,114,301	$371,998	$588,780	-$359,668	$581,152	$701,496	-$2,565,271	-$4,985,008	-$2,821,446
Gross Revenue	$15,296,674	$16,222,993	$18,612,188	$20,275,640	$19,576,897	$20,534,198	$16,629,496	$16,856,882	$14,891,899	$10,963,158	$9,554,497	$4,140,977
Operating Expenses	$12,404,992	$12,268,959	$13,374,144	$14,183,070	$14,572,494	$15,032,872	$14,040,672	$13,705,997	$13,142,001	$12,720,091	$13,659,479	$7,362,382
Net Patient Income	-$132,796	$885,282	$1,018,505	$1,100,861	$362,175	$576,150	-$373,541	$563,274	-$133,749	-$2,957,890	-$5,172,030	-$3,522,876
Net Patient Revenue	$12,272,196	$13,154,241	$14,392,649	$15,283,931	$14,934,669	$15,609,022	$13,667,131	$14,269,271	$13,008,252	$9,762,201	$8,487,449	$3,839,506
Payroll Costs	$6,642,596	$6,535,562	$6,826,824	$7,313,596	$7,666,413	$7,831,609	$7,017,878	$7,570,872	$6,918,900	$5,999,784	$4,052,368	$2,130,744
Operating Margin %	-1.1%	6.7%	7.1%	7.2%	2.4%	3.7%	-2.7%	4.0%	-1.0%	-30.3%	-60.9%	-91.8%
Medicare %	14.2%	13.6%	15.3%	16.7%	14.6%	14.3%	11.5%	9.0%	6.5%	5.3%	3.9%	0.4%
Medicaid %	45.5%	45.1%	42.9%	33.7%	44.4%	46.9%	55.8%	65.5%	62.8%	56.8%	64.2%	73.4%
Private %	40.3%	41.2%	41.8%	49.6%	41.1%	38.7%	32.7%	25.6%	30.6%	37.8%	31.9%	26.3%
Net Patient Revenue/Day	$298	$308	$333	$342	$334	$342	$323	$314	$295	$308	$325	$269
Cost/Day	$302	$287	$309	$318	$326	$330	$332	$301	$298	$402	$523	$516
Avg Length of Stay	51.2 days	58.0 days	54.1 days	50.5 days	54.6 days	51.8 days	84.3 days	101.5 days	114.9 days	121.8 days	98.6 days	160.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.4M

Net patient income

-$50.2K

For-profit Operated by a single business entity.

Net patient revenue

$3.4M

Net patient income

-$50.2K

Other income

$38

Payroll costs

$1.8M 52% of net patient revenue

Other operating costs

$1.7M

Total costs

$3.4M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 29 days.

Coverage residents most often arrive under.

Medicare 22%

Private pay 61%

Medicaid 17%

Coverage residents most often leave under.

Medicare 33%

Private pay 56%

Medicaid 10%

0.0 miles from city center Estimated distance in miles from Boulder's city center to Winding Trails Post Acute's address, calculated via Google Maps.

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The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.

4 facilities compared · CMS & CO Dept. of Health data


Frasier Retirement Community	NH AL IL	Boulder (Frasier Meadows)	54 Facility 54 CO AVG 76 Rank #343 / 533	92.5% Facility 92.5% CO AVG 76.5% Rank #25 / 221	+21%	5.03 Facility 5.03 CO AVG 3.86 Rank #21 / 215	+49%	+30%	$49.2k Facility $49.2k CO AVG $39.2k Rank #188 / 221	7 Facility 7 CO AVG 24.8 Rank #13 / 221	2.3 Facility 2.3 CO AVG 5.2 Rank #10 / 221	2	48	A+	65 Facility 65 CO AVG 51 Rank #301 / 872	Nikki Lewis	$9.0M Facility $9.0M CO AVG $11.2M Rank #2 / 221	$14.7M Facility $14.7M CO AVG $4.9M Rank #4 / 221	163% Facility 163% CO AVG 46.6% Rank #214 / 221	65324
Boulder Canyon Health and Rehabilitation	NH	Boulder (Park East)	140 Facility 140 CO AVG 76 Rank #54 / 533	69.3% Facility 69.3% CO AVG 76.5% Rank #149 / 221	-9%	3.45 Facility 3.45 CO AVG 3.86 Rank #117 / 215	-13%	-11%	$0 Facility $0 CO AVG $39.2k Rank #1 / 221	22 Facility 22 CO AVG 24.8 Rank #100 / 221	4.4 Facility 4.4 CO AVG 5.2 Rank #86 / 221	-	97	-	71 Facility 71 CO AVG 51 Rank #208 / 872	Ray Lauritzen	$14.3M Facility $14.3M CO AVG $11.2M Rank #31 / 221	$8.5M Facility $8.5M CO AVG $4.9M Rank #47 / 221	59.1% Facility 59.1% CO AVG 46.6% Rank #161 / 221	65222
Boulder Post Acute	NH MC NC	Boulder (Downtown)	162 Facility 162 CO AVG 76 Rank #29 / 533	84.0% Facility 84.0% CO AVG 76.5% Rank #85 / 221	+10%	4.44 Facility 4.44 CO AVG 3.86 Rank #34 / 215	-55%	+15%	$9.1k Facility $9.1k CO AVG $39.2k Rank #103 / 221	30 Facility 30 CO AVG 24.8 Rank #154 / 221	4.3 Facility 4.3 CO AVG 5.2 Rank #76 / 221	3	134	-	98 Facility 98 CO AVG 51 Rank #1 / 872	Lee Anneberg	$14.0M Facility $14.0M CO AVG $11.2M Rank #48 / 221	$7.9M Facility $7.9M CO AVG $4.9M Rank #44 / 221	56.7% Facility 56.7% CO AVG 46.6% Rank #108 / 221	65052
Winding Trails Post Acute	NH HC RC	Boulder (Downtown)	150 Facility 150 CO AVG 76 Rank #43 / 533	23.6% Facility 23.6% CO AVG 76.5% Rank #214 / 221	-69%	3.66 Facility 3.66 CO AVG 3.86 Rank #96 / 215	-55%	-5%	$90.7k Facility $90.7k CO AVG $39.2k Rank #210 / 221	68 Facility 68 CO AVG 24.8 Rank #221 / 221	9.7 Facility 9.7 CO AVG 5.2 Rank #214 / 221	13	86	-	98 Facility 98 CO AVG 51 Rank #1 / 872	Robert Adlesich	$3.4M Facility $3.4M CO AVG $11.2M Rank #215 / 221	$1.8M Facility $1.8M CO AVG $4.9M Rank #214 / 221	52% Facility 52% CO AVG 46.6% Rank #63 / 221	65267

Nursing Home Explorer

Elderly, Blind, and Disabled Waiver

Colorado Medicaid EBD Waiver

Age 65+ or disabled

General Colorado resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

Requires level-of-care assessment by case manager.

Benefits

Personal care (5-7 hours/day) Respite care (up to 240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Old Age Pension (OAP) Health Care Program

Colorado OAP

Age 60+

General Colorado resident.

Income Limits ~$1,215/month individual

Asset Limits $2,000 individual

Supplements SSI; limited medical coverage.

Benefits

Cash (~$100-$800/month) Limited in-home care (2-3 hours/week) Medical assistance

Program of All-Inclusive Care for the Elderly (PACE)

Colorado Medicaid PACE

Age 55+

General Colorado resident, nursing home-level care need, safe with PACE support.

Income Limits (2025) ~$2,829/month 300% FBR

Asset Limits $2,000 (individual), $3,000 (couple).

Limited to specific regions (e.g., Denver, Pueblo).

Benefits

All-inclusive care—personal care (5-7 hours/day) Meals Transportation Therapy Medical visits

Home Care Allowance (HCA)

Colorado Home Care Allowance (HCA)

Age —

General Seniors typically 65+, Age 5+ with disability, Colorado resident, financial/functional need.

Income Limits (2025) ~$1,004/month individual, stricter than waivers

Asset Limits $2,000 (individual), $3,000 (couple).

Must need help with ADLs; not Medicaid-waiver eligible.

Benefits

Personal care (~4-6 hours/day, paid to provider) E.g. Bathing Dressing

What neighborhood is Winding Trails Post Acute in?

Winding Trails Post Acute is in the Downtown neighborhood of BOULDER.

Who is the owner of Winding Trails Post Acute?

Winding Trails Post Acute is legally operated by Palo Community Healthcare, Llc, and administered by Jihan Boughman.

Is Winding Trails Post Acute in a walkable area?

Winding Trails Post Acute has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.

What is the occupancy rate at Winding Trails Post Acute?

Winding Trails Post Acute's occupancy is 24%.

Does Winding Trails Post Acute operate as a for-profit or non-profit?

Winding Trails Post Acute is registered as a for-profit in CO.

Who is the administrator of Winding Trails Post Acute?

Jihan Boughman is the administrator of Winding Trails Post Acute.

How many beds does Winding Trails Post Acute have?

Winding Trails Post Acute has 150 beds.

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Winding Trails Post Acute

Overview of Winding Trails Post Acute

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Winding Trails Post Acute

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

83 Certified Nursing Assistant

21 Licensed Practical Nurse

9 Registered Nurse

3 Other Dietary Services Staff

3 Dental Services Staff

3 Speech Language Pathologist

1 Nurse Practitioner

2 Administrator

1 Clinical Nurse Specialist

1 Dietitian

4 Physical Therapy Aide

1 Occupational Therapy Aide

4 Qualified Social Worker

5 Respiratory Therapy Technician

3 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

Places of interest near Winding Trails Post Acute

Calculate Travel Distance to Winding Trails Post Acute

Compare Nursing Homes around Boulder

Financial Assistance for Nursing Home in Colorado

Elderly, Blind, and Disabled Waiver

Old Age Pension (OAP) Health Care Program

Program of All-Inclusive Care for the Elderly (PACE)

Home Care Allowance (HCA)

Guides for Better Senior Living

Financial Assistance for
Nursing Home in Colorado