Occupancy rate
24%
In line with Colorado averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Boulder
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Winding Trails Post Acute
Nursing Home in Boulder
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Winding Trails Post Acute
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Home revenue
$4.4M
Operating loss
-$50.2K
Privately-owned community
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
Occupancy
In line with Colorado averageOccupied beds
35 / 150
Average residents
72 per day
Facility TypeSnf/nf Dual Certification
StatusActive
CMS Certification Number065267
Winding Trails Post Acute is administrated by Boughman, Jihan.
Owner NamePALO COMMUNITY HEALTHCARE, LLC
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Rehabilitation
Specific ProgramsNursing Services, Rehabilitation, Activities, Social Services
Health Inspection History
Inspections
Total health inspections
7
Colorado average 4.8
Last Health inspection on Nov 2024
Total health citations
68
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 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
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Nov 21, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Nov 21, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 21, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 21, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 21, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 21, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 21, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
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.
Compare Nursing Homes around Boulder The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
Filter by care type
Boulder Canyon Health and Rehabilitation
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Boulder (Park East)
140
76.5%
0%
3.45
-11%
0
22
4.4
0
109
71
Lauritzen, Ray
$19.2M
$7.3M
37.9%
65222
Boulder Post Acute
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
BOULDER
162
86.9%
+14%
4.44
+15%
2
30
4.3
3
136
-
Anneberg, Lee
$16.6M
$6.8M
41.1%
65052
Winding Trails Post Acute
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
BOULDER
150
23.6%
-69%
3.66
-5%
2
68
9.7
13
85
-
Adlesich, Robert
$4.4M
$1.5M
34.4%
65267
Places of interest near Winding Trails Post Acute
0.0 miles from city center
2800 PALO PKWY, BOULDER, CO 80301-1540
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
106
Employees
72
Contractors
34
Staff to resident ratio
1.34:1
30% worse than Colorado averageColorado average ratio: 1.91:1
Avg staff/day
36
Average shift
8.9 hours
7% better than Colorado averageColorado average: 8.3 hours
Total staff hours (quarter)
29,227
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
6.6%
1,928 contractor hours this quarter
Certified Nursing Assistant: 13
Licensed Practical Nurse: 8
Speech Language Pathologist: 5
Qualified Social Worker: 3
Physical Therapy Assistant: 2
Physical Therapy Aide: 2
Respiratory Therapy Technician: 1
Staff by category
| 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 |
46 Certified Nursing Assistant
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
100%
4 Dental Services Staff
% of Days
70%
3 Other Dietary Services Staff
% of Days
99%
5 Speech Language Pathologist
% of Days
69%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Clinical Nurse Specialist
% of Days
70%
1 Qualified Activities Professional
% of Days
70%
2 Physical Therapy Aide
% of Days
59%
1 Occupational Therapy Aide
% of Days
60%
3 Qualified Social Worker
% of Days
69%
2 Dietitian
% of Days
45%
1 Respiratory Therapy Technician
% of Days
46%
2 Physical Therapy Assistant
% of Days
38%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
79 residents
Residents by payment source
Medicare
5 residents (6.3%)
Medicaid
38 residents (48.1%)
Private pay or other
36 residents (45.6%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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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