Total health inspections
7
Colorado average 4.8
Last Health inspection on Nov 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Winding Trails Post Acute
Nursing Home
Winding Trails Post Acute
Nursing Home
Winding Trails Post Acute is located in Boulder, Colorado. It offers 24-hour skilled nursing and short-term rehabilitation services. The facility provides a home-like environment with semi-private rooms and a variety of activities.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
150
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
23.6%
Residents per day (avg)
85
Occupancy rate
23.6%
Residents per day (avg)
85
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
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
Finances and operations
Proprietary home
Other
Home revenue
$4.4M
Operating loss
-$50.2K
Proprietary home
Other
Home revenue
$4,390,988.00
Operating loss
$-50,203.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.4M
150-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
License Status
ActiveFacility Type
SNF/NF Dual Certification
Additional licensing details
CMS Certification Number:
065267
Ownership & operating entity
Winding Trails Post Acute is administrated by Boughman, Jihan.
Owner name:
PALO COMMUNITY HEALTHCARE, LLC
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Programs & Activities
Specific Programs
Nursing Services, Rehabilitation, Activities, Social Services
Compare Nursing Homes around Boulder
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
Boulder Canyon Health and Rehabilitation
-16%
-11%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Boulder (Park East)
140
No
71
LAURITZEN, RAY
76.5%
$19,197,269.00
$7,277,283.00
37.9%
108.90
3.4523
-
22
-
-16%-11%
0%
Boulder Post Acute
-40%
+15%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
CO 80304-3621
162
No
-
ANNEBERG, LEE
86.9%
$16,621,245.00
$6,826,039.00
41.1%
136.30
4.4368
2
30
3
-40%+15%+14%
Winding Trails Post Acute
-30%
-5%
-69%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
CO 80301-1540
150
No
-
ADLESICH, ROBERT
23.6%
$4,390,950.00
$1,511,902.00
34.4%
84.70
3.6618
2
68
13
-30%-5%-69%
Boulder Canyon Health and Rehabilitation
Type of care:
AL
IL
MC
SNF
Community:
Boulder (Park East)
Bed Count:
140
Pets Allowed:
No
Operator:
LAURITZEN, RAY
CCN:
65222
Occupancy:
76.5%
Home Revenue:
$19,197,269.00
Payroll Costs:
$7,277,283.00
Payroll %:
37.9%
Avg Residents/Day:
108.90
Overall Rating:
Adj Nurse Hours:
3.4523
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
22
RN share vs State Avg:
-16%
-16%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
0%
Boulder Post Acute
Type of care:
SNF
AL
Community:
CO 80304-3621
Bed Count:
162
Pets Allowed:
No
Operator:
ANNEBERG, LEE
CCN:
65052
Occupancy:
86.9%
Home Revenue:
$16,621,245.00
Payroll Costs:
$6,826,039.00
Payroll %:
41.1%
Avg Residents/Day:
136.30
Overall Rating:
Adj Nurse Hours:
4.4368
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
30
Severe Citations:
3
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+15%
+15%
Occupancy vs State Avg:
+14%
+14%
Winding Trails Post Acute
Type of care:
SNF
AL
Community:
CO 80301-1540
Bed Count:
150
Pets Allowed:
No
Operator:
ADLESICH, ROBERT
CCN:
65267
Occupancy:
23.6%
Home Revenue:
$4,390,950.00
Payroll Costs:
$1,511,902.00
Payroll %:
34.4%
Avg Residents/Day:
84.70
Overall Rating:
Adj Nurse Hours:
3.6618
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
68
Severe Citations:
13
RN share vs State Avg:
-30%
-30%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
-69%
-69%Places of interest near Winding Trails Post Acute
0.0 miles from city center
BOULDER, CO 80301-1540
Calculate Travel Distance to Winding Trails Post Acute
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
106
Total Staff
72
Employees
34
Contractors
29,227
Total Hours (Quarter)
36
Avg Staff/Day
8.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 9.7 | No |
| Licensed Practical Nurse | 23 | 9.9 | Yes |
| Certified Nursing Assistant | 46 | 9.5 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
79 staff
9.6hs shift avg
Physicians & Practitioners ⓘ
2 staff
8hs shift avg
Therapy Services ⓘ
11 staff
6hs shift avg
Activities & Recreation ⓘ
1 staff
8hs shift avg
Social Services ⓘ
3 staff
5.1hs shift avg
Dietary Services ⓘ
5 staff
7.9hs shift avg
Other Services ⓘ
4 staff
8hs shift avg
Contractor Analysis
6.6%
of total hours from contractors
1,928 contractor hours this quarter
Licensed Practical Nurse: 8
Certified Nursing Assistant: 13
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 1
Physical Therapy Aide: 2
Speech Language Pathologist: 5
Qualified Social Worker: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 33 | 13 | 46 | 13,384 | 91 | 100% | 9.5 |
| Licensed Practical Nurse | 15 | 8 | 23 | 5,924 | 91 | 100% | 9.9 |
| Registered Nurse | 10 | 0 | 10 | 3,734 | 91 | 100% | 9.7 |
| Dental Services Staff | 4 | 0 | 4 | 968 | 64 | 70% | 8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 826 | 90 | 99% | 7.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 710 | 63 | 69% | 7.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 418 | 54 | 59% | 7.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 393 | 55 | 60% | 7.1 |
| Qualified Social Worker | 0 | 3 | 3 | 331 | 63 | 69% | 5.1 |
| Dietitian | 2 | 0 | 2 | 328 | 41 | 45% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 108 | 42 | 46% | 2.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 56 | 35 | 38% | 1.5 |
Health Inspection History
Inspections
Total health citations
68
Citations per inspection
9.71
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 3 years)
Critical Health citations
5
5
1150% worse than Colorado averageColorado average: 0.4
Serious Health citations
8
8
281% worse than Colorado averageColorado average: 2.1
5 critical citations
8 serious citations
55 moderate citations
0 minor citations
Citations history (last 3 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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
79
Total Residents
Medicare
5
(6.3%)
ⓘ
Medicaid
38
(48.1%)
ⓘ
Private Pay/Other
36
(45.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
11% better than Colorado averageColorado average: 9.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.4
In line with Colorado averageColorado average: 18.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
9% better than Colorado averageColorado average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.3%
Percent of long-stay residents whose ability to move independently worsened
15.3%
10% better than Colorado averageColorado average: 17.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.4%
9% worse than Colorado averageColorado average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
45% better than Colorado averageColorado average: 3.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
81% worse than Colorado averageColorado average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
22% better than Colorado averageColorado average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.6%
Percent of long-stay residents who lose too much weight
1.6%
69% better than Colorado averageColorado average: 5.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
Percent of long-stay residents who have depressive symptoms
1.8%
76% better than Colorado averageColorado average: 7.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.9%
Percent of long-stay residents who received an antipsychotic medication
17.9%
5% better than Colorado averageColorado average: 18.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.3%
10% worse than Colorado averageColorado average: 93.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.7%
17% worse than Colorado averageColorado average: 94.7%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.8%
19% worse than Colorado averageColorado average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
5.5%
Percent of short-stay residents who newly received an antipsychotic medication
5.5%
292% worse than Colorado averageColorado average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.2%
20% worse than Colorado averageColorado average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$102K
157% higher than Colorado averageColorado average: $40K
Number of fines
2
10% fewer fines than Colorado averageColorado average: 2.2
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
276% more payment denials than Colorado averageColorado average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$102K
Colorado average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 7, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 7, 2024
$91K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 7, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 7, 2024
85 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 23, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 23, 2023
$11K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Winding Trails Post Acute based on CMS SNF Cost Reports.
Occupancy Rate
38.8%
↓ 8.9pp vs 2022
Net Income
-$2,821,446
↑ ~$2.2M vs 2022
Total Payroll
$2,477,628
↓ ~$5.1M vs 2022
Profit Margin
-68.1%
↓ 16.0pp vs 2022
Loading trend charts...
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