We arrange tours, appointments, and even moving support so you don’t have to
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 84th out of 177 homes in Colorado for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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 |
Lower than the Colorado average: 76.5%Winding Trails Post Acute is administrated by Jihan Boughman.
Colorado average 4.8
Last Health inspection on Nov 2024
Colorado average 24.8
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).
1150% worse than Colorado averageColorado average: 0.4
281% worse than Colorado averageColorado average: 2.1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Colorado average
6% better than Colorado average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
21 total: 15 full-time employees and 6 contractors.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
83 total: 34 full-time employees and 49 contractors.
83
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,844 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
Includes penalties issued in 2024
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)
157% higher than Colorado averageColorado average: $40K
10% fewer fines than Colorado averageColorado average: 2.2
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
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 7, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 7, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.5%
9% better than Colorado averageColorado average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
15.3%
10% better than Colorado averageColorado average: 17.0%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
45% better than Colorado averageColorado average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
7.0%
81% worse than Colorado averageColorado average: 3.9%
Percent of long-stay residents with a urinary tract infection
1.1%
22% better than Colorado averageColorado average: 1.4%
Percent of long-stay residents who lose too much weight
1.6%
69% better than Colorado averageColorado average: 5.2%
Percent of long-stay residents who have depressive symptoms
1.8%
76% better than Colorado averageColorado average: 7.2%
Percent of long-stay residents who received an antipsychotic medication
17.9%
5% better than Colorado averageColorado average: 18.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
84.3%
10% worse than Colorado averageColorado average: 93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
78.7%
17% worse than Colorado averageColorado average: 94.7%
Number of hospitalizations per 1,000 long-stay resident days.
1.45
12% worse than Colorado averageColorado average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.93
44% better than Colorado averageColorado average: 1.67
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.8%
19% worse than Colorado averageColorado average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
5.5%
292% worse than Colorado averageColorado average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.2%
20% worse than Colorado averageColorado average: 75.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.1%
14% worse than Colorado averageColorado average: 20.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.7%
40% better than Colorado averageColorado average: 12.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Colorado averageColorado average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
68.2%
27% better than Colorado averageColorado average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
47.5%
6% worse than Colorado averageColorado average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Winding Trails Post Acute based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #176 / 182Payroll — State benchmarkedThis home is ranked 176th out of 182 homes in Colorado. Shows total annual staff payroll benchmarked to the Colorado average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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.
Add your location
Winding Trails Post Acute is located in BOULDER, Colorado.
Here are the financial assistance programs available to residents in Colorado.
The information below is reported by the Colorado Department of Public Health and Environment, Health Facilities Division.
| 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 (Downtown) | 162
Facility
162
CO AVG
76
Rank
#29 / 533 |
84.0%
Facility
84.0%
CO AVG
76.5%
Rank
#66 / 185 | +10% | 4.44
Facility
4.44
CO AVG
3.86
Rank
#30 / 177 | -55% | +15% | $9.1k
Facility
$9.1k
CO AVG
$39.2k
Rank
#108 / 182 | 30
Facility
30
CO AVG
24.8
Rank
#128 / 182 | 4.3
Facility
4.3
CO AVG
5.2
Rank
#68 / 182 | 3 | 134 |
98
Facility
98
CO AVG
51
Rank
#1 / 872 | Lee Anneberg | $16.6M
Facility
$16.6M
CO AVG
$11.2M
Rank
#40 / 182 | $9.0M
Facility
$9.0M
CO AVG
$4.9M
Rank
#35 / 182 | 54.2%
Facility
54.2%
CO AVG
46.6%
Rank
#92 / 182 | 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 (Downtown) | 150
Facility
150
CO AVG
76
Rank
#43 / 533 |
23.6%
Facility
23.6%
CO AVG
76.5%
Rank
#178 / 185 | -69% | 3.66
Facility
3.66
CO AVG
3.86
Rank
#84 / 177 | -55% | -5% | $90.7k
Facility
$90.7k
CO AVG
$39.2k
Rank
#170 / 182 | 68
Facility
68
CO AVG
24.8
Rank
#182 / 182 | 9.7
Facility
9.7
CO AVG
5.2
Rank
#177 / 182 | 13 | 86 |
98
Facility
98
CO AVG
51
Rank
#1 / 872 | Robert Adlesich | $4.1M
Facility
$4.1M
CO AVG
$11.2M
Rank
#177 / 182 | $2.5M
Facility
$2.5M
CO AVG
$4.9M
Rank
#176 / 182 | 59.8%
Facility
59.8%
CO AVG
46.6%
Rank
#56 / 182 | 65267 |
Winding Trails Post Acute is in the Downtown neighborhood of BOULDER.
The legal owner and operator of Winding Trails Post Acute is Palo Community Healthcare, Llc.
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.
Winding Trails Post Acute's occupancy is 24%.
Jihan Boughman is the administrator of Winding Trails Post Acute.
Winding Trails Post Acute has 150 beds.
Yes — there is 1 photo of Winding Trails Post Acute in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
