Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
130
84 employees · 46 contractors · 36 on an average day Winding Trails Post Acute
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Boulder, CO
ALM Inspection Grade
D-
ALM's inspection grade is 61 / 100, a D- — 22 points below the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 61 / 100, a D- — 22 points below the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Boulder, CO
ALM Inspection Grade
D-
ALM's inspection grade is 61 / 100, a D- — 22 points below the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 61 / 100, a D- — 22 points below the Colorado average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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 accepts Medicare, Medicaid, and private pay.
Winding Trails Post Acute provides nursing home and skilled nursing care, hospice care, and respite care in Boulder, Colorado. Skilled nursing includes staffing around the clock for residents who need ongoing nursing support. Hospice care focuses on comfort at the end of life, while respite care provides a short stay when a usual caregiver needs time away or time to recover.
The community has 150 beds and also provides short term rehabilitation. A resident can therefore receive rehabilitation during a temporary stay instead of arranging care at another location. Semi private rooms are available for residents who share a room. Winding Trails Post Acute may be a good fit for someone who needs skilled nursing, rehabilitation, hospice support, or a temporary respite placement.
Total nurse staffing is 3 hours and 38 minutes per resident each day, representing the daily nursing time assigned to each resident. Payment options include Medicare, Medicaid, and private pay. Jihan Boughman serves as administrator, and Palo Community Healthcare operates the community.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 94th out of 193 nursing homes we track 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.
3h 38m
This nursing home is ranked 94th out of 193 nursing homes we track 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.
3h 38mStandout metric: LPN / LVN is +56% above Colorado average
4 of 6 metrics below Colorado average
Daily care time per resident, by role
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. All 10 are the facility's own employees; no agency contractors work in this role.
10 staff · 9.4-hour shifts
37m
↓ 26% · CO 50mThis facility: 37m per resident per day, 26% below the Colorado average of 50m (among Colorado facilities reporting a recent figure).
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. All 10 are the facility's own employees; no agency contractors work in this role.
10 staff · 9.4-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 24 total: 18 of the facility's own employees and 6 agency contractors.
24 staff · 9.6-hour shifts
1h 4m
↑ 56% · CO 41mThis facility: 1h 4m per resident per day, 56% above the Colorado average of 41m (among Colorado facilities reporting a recent figure).
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. 24 total: 18 of the facility's own employees and 6 agency contractors.
24 staff · 9.6-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 75 total: 35 of the facility's own employees and 40 agency contractors.
75 staff · 9.4-hour shifts
1h 57m
↓ 11% · CO 2h 12mThis facility: 1h 57m per resident per day, 11% below the Colorado average of 2h 12m (among Colorado facilities reporting a recent figure).
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. 75 total: 35 of the facility's own employees and 40 agency contractors.
75 staff · 9.4-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
3m
↓ 40% · CO 5mThis facility: 3m per resident per day, 40% below the Colorado average of 5m (among Colorado facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 22m
↑ 3% · CO 3h 16mThis facility: 3h 22m per resident per day, 3% above the Colorado average of 3h 16m (among Colorado facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
17m
↓ 52% · CO 36mThis facility: 17m per resident per day, 52% below the Colorado average of 36m (among Colorado facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
130
84 employees · 46 contractors · 36 on an average day
130 total staff / 94 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.38 : 1
↓ 21% · CO 1.75This facility: 1.38 staff per resident, 21% below the Colorado average of 1.75 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
130 staff ÷ 94 residents
See full Colorado ranking →
Average hours one staff member works on a day they are on shift, across every role.
9 h
↑ 7% · CO 8.4 hThis facility: 9 h, 7% above the Colorado average of 8.4 h (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
29,326 staff hours this quarter
See full Colorado ranking →93.1% of staff hours were worked by the facility's own employees
Colorado average: 92.5% · Contractors this quarter: Certified Nursing Assistant (40), Licensed Practical Nurse (6)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
150
Rank #22 / 211Bed count — State benchmarked This nursing home is ranked 22nd out of 211 nursing homes we track in Colorado for bed count. Shows this facility's certified or reported bed count compared to other Colorado facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
150
Rank #22 / 211Bed count — State benchmarked This nursing home is ranked 22nd out of 211 nursing homes we track in Colorado for bed count. Shows this facility's certified or reported bed count compared to other Colorado facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Walk Score
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #1 / 232Walk Score — State benchmarked This nursing home is ranked 1st out of 232 nursing homes we track in Colorado for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Colorado facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Rank #1 / 232Walk Score — State benchmarked This nursing home is ranked 1st out of 232 nursing homes we track in Colorado for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Colorado facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
98
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #131 / 147Occupancy rate — State benchmarked This nursing home is ranked 131st out of 147 nursing homes we track in Colorado for occupancy. Shows this facility's occupancy rate versus the Colorado average, with its Statewide rank out of 147. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #131 / 147Occupancy rate — State benchmarked This nursing home is ranked 131st out of 147 nursing homes we track in Colorado for occupancy. Shows this facility's occupancy rate versus the Colorado average, with its Statewide rank out of 147. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
62%
This home usually has availability
Based on 93 residents and 150 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Lower than the Colorado average: 80.6%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
142
days
About This Community
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
Resident Council
Short-Term Rehab
Pets not allowed
CMS Health Inspection History
ALM Inspection Grade
61 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
22 points below the Colorado average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
310 severity-weighted points (69 deficiencies) · 4× higher than the typical CMS-certified CO facility of similar size (median: 88)
Enforcement
Concern
$90,659 in fines · 2 enforcement actions
Persistence
Concern
46 days to fix issues · much slower than the typical CMS-certified CO facility of similar size (median: 26)
Total health inspections
7
↑ 40% · CO 5This facility: 7, 40% above the Colorado average of 5 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
69
Rank #193 / 195Health citations — State benchmarked This nursing home is ranked 193rd out of 195 nursing homes we track in Colorado for health citations. Shows this facility's total health deficiency citations benchmarked to the Colorado State average, with a ranking across all 195 CO facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 175% · CO 25.1This facility: 69, 175% above the Colorado average of 25.1 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
9.86
Rank #191 / 195Citations per inspection — State benchmarked This nursing home is ranked 191st out of 195 nursing homes we track in Colorado for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Colorado mean across 195 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 96% · CO 5.04This facility: 9.86, 96% above the Colorado average of 5.04 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
69 of 69 citations corrected
Critical
J–L
5
↑ 1150% · CO 0.4This facility: 5, 1150% above the Colorado average of 0.4 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
7
↑ 268% · CO 1.9This facility: 7, 268% above the Colorado average of 1.9 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
57
↑ 151% · CO 22.7This facility: 57, 151% above the Colorado average of 22.7 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · CO 0.2This facility: 0, 100% below the Colorado average of 0.2 (among Colorado facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Oct 02, 2025 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 21 of 69 citations · 10 categories in total
Citations history
Most recent first
Oct 02, 2025
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nov 21, 2024
8 citations
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Oct 15, 2024
1 citation
Care Planning moderate citation
Corrected
Corrected
Mar 07, 2024
14 citations
Quality of Care critical citation
Corrected
Corrected
Abuse/Neglect serious citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Nov 20, 2023
4 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jun 15, 2023
14 citations
Administration moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Apr 19, 2022
7 citations
Infection Control critical citation
Corrected
Corrected
Infection Control critical citation
Corrected
Corrected
Infection Control critical citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Abuse/Neglect serious citation
Corrected
Corrected
Administration serious citation
Corrected
Corrected
Administration serious citation
Corrected
Corrected
Showing the 50 most recent of 69 citations.
Top deficiency categories
Share of 69 citations
Quality of Life & Care
21 deficiencies (30%)
Administration
11 deficiencies (16%)
Resident Rights
10 deficiencies (14%)
Abuse, Neglect & Exploitation
6 deficiencies (9%)
Infection Control
5 deficiencies (7%)
Resident Assessment & Care Planning
5 deficiencies (7%)
Pharmacy Services
4 deficiencies (6%)
Nutrition & Dietary
3 deficiencies (4%)
Nursing & Physician Services
3 deficiencies (4%)
Environmental
1 deficiency (1%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
46 of 69 citations resulted from standard inspections; 21 of 69 resulted from complaint investigations; and 2 of 69 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
2 penalties in the past 3 years
Latest: Mar 7, 2024 · $90,659 civil money penalty
Mar 7, 2024 · $90,659 civil money penalty
Mar 7, 2024 · 85-day payment denial
Total fines
$90,659
↑ 151% · CO $36KThis facility: $90,659, 151% above the Colorado average of $36,171. Average among the 126 Colorado facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #187 / 196Federal fines — State benchmarked This nursing home is ranked 187th out of 196 nursing homes we track in Colorado for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Colorado average among facilities with fines, and where it ranks among 196 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 46% · CO 1.87This facility: 1, 46% below the Colorado average of 1.87. Average among the 126 Colorado facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
85 days
CO avg 0.19Colorado average: 0.19. Average among the 126 Colorado facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Mar 7, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$90,659
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$90,659
Mar 7, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
85 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
85 daysFine amount comparison
This facility
$90,659
Colorado average
$36,171
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Colorado and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Colorado average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 28% · CO 3.9This facility: 5.0, 28% above the CO average of 3.9 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 87% · CO 2.7This facility: 5.0, 87% above the CO average of 2.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
2.1
Score · lower is better
↓ 70% · CO 7.2This facility: 2.1, 70% below the CO average of 7.2 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
9.6
Score · lower is better
↓ 36% · CO 15.1This facility: 9.6, 36% below the CO average of 15.1 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 8 better, 2 worse, 3 near CO average
8 short-stay measures: 1 better, 4 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
2.8%
↓ 78% · CO 12.8This facility: 2.8, 78% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
2.8%
↓ 78% · CO 12.8This facility: 2.8, 78% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
4.8%
↓ 59% · CO 11.7This facility: 4.8, 59% below the CO average of 11.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
4.8%
↓ 59% · CO 11.7This facility: 4.8, 59% below the CO average of 11.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
↑ 3% · CO 20.6This facility: 21.2, 3% above the CO average of 20.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.2%
↑ 3% · CO 20.6This facility: 21.2, 3% above the CO average of 20.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · CO 1.4This facility: 0.0, 100% below the CO average of 1.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · CO 1.4This facility: 0.0, 100% below the CO average of 1.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
↓ 80% · CO 3.4This facility: 0.7, 80% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
↓ 80% · CO 3.4This facility: 0.7, 80% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.6%
↓ 52% · CO 3.4This facility: 1.6, 52% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.6%
↓ 52% · CO 3.4This facility: 1.6, 52% below the CO average of 3.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
0.7%
↓ 85% · CO 4.8This facility: 0.7, 85% below the CO average of 4.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
0.7%
↓ 85% · CO 4.8This facility: 0.7, 85% below the CO average of 4.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
↓ 92% · CO 8.8This facility: 0.7, 92% below the CO average of 8.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.7%
↓ 92% · CO 8.8This facility: 0.7, 92% below the CO average of 8.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
21.3%
↑ 7% · CO 19.9This facility: 21.3, 7% above the CO average of 19.9 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
21.3%
↑ 7% · CO 19.9This facility: 21.3, 7% above the CO average of 19.9 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
↓ 1% · CO 93.4This facility: 92.3, 1% below the CO average of 93.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
↓ 1% · CO 93.4This facility: 92.3, 1% below the CO average of 93.4 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
↑ 1% · CO 93.7This facility: 94.9, 1% above the CO average of 93.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
↑ 1% · CO 93.7This facility: 94.9, 1% above the CO average of 93.7 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.45
↑ 12% · CO 1.30This facility: 1.45, 12% above the CO average of 1.30 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.45
↑ 12% · CO 1.30This facility: 1.45, 12% above the CO average of 1.30 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.93
↓ 44% · CO 1.67This facility: 0.93, 44% below the CO average of 1.67 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.93
↓ 44% · CO 1.67This facility: 0.93, 44% below the CO average of 1.67 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
68.2%
↑ 27% · US 53.7This facility: 68.2, 27% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
68.2%
↑ 27% · US 53.7This facility: 68.2, 27% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
47.5%
↓ 6% · US 50.6This facility: 47.5, 6% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
47.5%
↓ 6% · US 50.6This facility: 47.5, 6% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
↑ 70% · CO 1.6This facility: 2.7, 70% above the CO average of 1.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
↑ 70% · CO 1.6This facility: 2.7, 70% above the CO average of 1.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
↓ 10% · CO 77.0This facility: 69.7, 10% below the CO average of 77.0 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
↓ 10% · CO 77.0This facility: 69.7, 10% below the CO average of 77.0 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.0%
↓ 23% · CO 73.6This facility: 57.0, 23% below the CO average of 73.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.0%
↓ 23% · CO 73.6This facility: 57.0, 23% below the CO average of 73.6 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.1%
↑ 14% · CO 20.3This facility: 23.1, 14% above the CO average of 20.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.1%
↑ 14% · CO 20.3This facility: 23.1, 14% above the CO average of 20.3 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
7.7%
↓ 40% · CO 12.8This facility: 7.7, 40% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
7.7%
↓ 40% · CO 12.8This facility: 7.7, 40% below the CO average of 12.8 (among CO facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Winding Trails Post Acute’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 191 Colorado nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−21.2% operating margin
+39.8 pts vs prior year
An operating loss in 5 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$2.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Colorado homes
54.7% payroll share of revenue
CO average 63.3%Rank #135 / 191Payroll % of net patient revenue — State benchmarked This nursing home is ranked 135th out of 191 nursing homes we track in Colorado for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Colorado average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $1.6M while revenue rose $1.8M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Colorado homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CO median | Compared with CO homesRank in CO | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.3M | +$1.8M | Trend 20162024 | CO median $10.0M | Rank in CO Rank #89 / 191Net patient revenue — State benchmarked This nursing home is ranked 89th out of 191 nursing homes we track in Colorado for net patient revenue. Shows this facility's net patient revenue compared to the Colorado average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 54% of homes | Above CO median Higher net patient revenue than 54% of CO homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $12.5M | −$1.2M | Trend 20162024 | CO median $10.4M | Rank in CO Rank #67 / 191Operating expenses — State benchmarked This nursing home is ranked 67th out of 191 nursing homes we track in Colorado for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Colorado homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 65% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$2.2M | +$3.0M | Trend 20162024 | CO median −$0.1M | Rank in CO Rank #164 / 191Net patient income — State benchmarked This nursing home is ranked 164th out of 191 nursing homes we track in Colorado for net patient income. Shows net patient revenue minus operating expenses, compared with other Colorado homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 14% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −21.2% | +39.8 pts | Trend 20162024 | CO median −1.6% | Rank in CO Rank #157 / 191Operating margin — State benchmarked This nursing home is ranked 157th out of 191 nursing homes we track in Colorado for operating margin. Shows net patient income as a share of net patient revenue, compared with other Colorado homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 18% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | CO median $0.0M | Rank in CO Rank #104 / 152Other income — State benchmarked This nursing home is ranked 104th out of 152 nursing homes we track in Colorado for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Colorado homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$2.2M | +$2.8M | Trend — | CO median $0.1M | Rank in CO Rank #172 / 191Net income — State benchmarked This nursing home is ranked 172nd out of 191 nursing homes we track in Colorado for net income. Shows the bottom line after other income, compared with other Colorado homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 10% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Colorado homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CO median | Compared with CO homesRank in CO | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.6M | +$1.6M | Trend 20162024 | CO median $6.0M | Rank in CO Rank #113 / 191Payroll costs — State benchmarked This nursing home is ranked 113th out of 191 nursing homes we track in Colorado for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Colorado average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 41% of homes | Below CO median Higher payroll than 41% of CO homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 54.7% | +7.0 pts | Trend 20162024 | CO median 59.7% | Rank in CO Rank #135 / 191Payroll % of net patient revenue — State benchmarked This nursing home is ranked 135th out of 191 nursing homes we track in Colorado for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Colorado average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Colorado that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 29% of homes | 8.6 pts under CO average The CO average is 63.3% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · CO benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Colorado payroll average.
% of net patient revenue
Payroll share Operating margin CO payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $14.9M | $15.6M | $13.7M | $14.3M | $13.0M | $9.8M | $8.5M | $10.3M | |
| Operating expenses | $14.6M | $15.0M | $14.0M | $13.7M | $13.1M | $12.7M | $13.7M | $12.5M | |
| Net patient income | $0.4M | $0.6M | −$0.4M | $0.6M | −$0.1M | −$3.0M | −$5.2M | −$2.2M | |
| Operating margin | 2.4% | 3.7% | −2.7% | 4.0% | −1.0% | −30.3% | −60.9% | −21.2% | |
| Net income | $0.4M | $0.6M | −$0.4M | $0.6M | $0.7M | −$2.6M | −$5.0M | −$2.2M | |
| Payroll costs | $7.7M | $7.8M | $7.0M | $7.6M | $6.9M | $6.0M | $4.1M | $5.6M | |
| Payroll share of revenue | 51.3% | 50.2% | 51.3% | 53.1% | 53.2% | 61.5% | 47.7% | 54.7% | |
| Beds | 150 | 150 | 150 | 150 | 150 | 150 | 150 | 150 | |
| Gross revenue | $19.6M | $20.5M | $16.6M | $16.9M | $14.9M | $11.0M | $9.6M | $12.1M | |
| Salaries | $6.6M | $6.8M | $6.1M | $6.6M | $6.0M | $5.0M | $3.4M | $4.8M | |
| Wage-related costs | $1.1M | $1.1M | $0.9M | $1.0M | $0.9M | $1.0M | $0.7M | $0.8M | |
| Contract labor | $0.0M | $0.2M | $0.1M | $0.4M | $0.8M | $1.0M | $3.5M | $1.3M | |
| Other operating costs | $6.9M | $7.2M | $7.0M | $6.1M | $6.2M | $6.7M | $9.6M | $6.9M | |
| Net patient revenue per day | $334 | $342 | $323 | $314 | $295 | $308 | $325 | $368 | |
| Cost per day | $326 | $330 | $332 | $301 | $298 | $402 | $523 | $446 | |
| Average length of stay | 54.6 days | 51.8 days | 84.3 days | 101.5 days | 114.9 days | 121.8 days | 98.6 days | 141.5 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
201 admissions · FY2024
Residents admitted during the year.
Medicare
54 · 27%
Medicaid
39 · 19%
Private pay & other
108 · 54%
Resident snapshot
94 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
3 · 3%
Medicaid
79 · 84%
Private pay & other
12 · 13%
Leaving
198 discharges · FY2024
Residents discharged during the year.
Medicare
30 · 15%
Medicaid
43 · 22%
Private pay & other
125 · 63%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Winding Trails Post Acute
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Estimated distance in miles from Boulder's city center to Winding Trails Post Acute's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the CO Dept. of Public Health & Environment (CDPHE), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Colorado average is: 63.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder Canyon Health and Rehabilitation | NH SNF | Boulder (Park East) | 140
Facility
140
CO AVG
95
Rank
#27 / 211 | ? |
82.5%
Facility
82.5%
CO AVG
80.6%
Rank
#81 / 147 | +2% | 3.80
Facility
3.80
CO AVG
3.91
Rank
#74 / 193 | -15% | -3% | $0
Facility
$0
CO AVG
$36.8k
Rank
#1 / 196 | 19
Facility
19
CO AVG
25.1
Rank
#72 / 195 | 3.2
Facility
3.2
CO AVG
5.0
Rank
#41 / 195 | 1 | 116 | - |
71
Facility
71
CO AVG
60
Rank
#83 / 232 | Baseline Healthcare, Inc | $16.3MFiscal year ending 12/2024
Facility
$16.3MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#24 / 191 | $9.8MFiscal year ending 12/2024
Facility
$9.8MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#28 / 191 | 60.1%Fiscal year ending 12/2024
Facility
60.1%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#90 / 191 | 065222 | ||||
| Frasier Retirement Community | NH AL CCRC IL SNF | Boulder (Frasier Meadows) | 54
Facility
54
CO AVG
95
Rank
#175 / 211 | ? |
85.7%
Facility
85.7%
CO AVG
80.6%
Rank
#59 / 147 | +6% | 5.27
Facility
5.27
CO AVG
3.91
Rank
#11 / 193 | +57% | +35% | $35.4k
Facility
$35.4k
CO AVG
$36.8k
Rank
#155 / 196 | 8
Facility
8
CO AVG
25.1
Rank
#12 / 195 | 2.7
Facility
2.7
CO AVG
5.0
Rank
#26 / 195 | 2 | 46 | A+ |
65
Facility
65
CO AVG
60
Rank
#114 / 232 | Nikki Lewis | $10.1MFiscal year ending 06/2025
Facility
$10.1MFiscal year ending 06/2025
CO AVG
$10.8M
Rank
#91 / 191 | $15.5MFiscal year ending 06/2025
Facility
$15.5MFiscal year ending 06/2025
CO AVG
$6.7M
Rank
#4 / 191 | 153.4%Fiscal year ending 06/2025
Facility
153.4%Fiscal year ending 06/2025
CO AVG
63.3%
Rank
#2 / 191 | 065324 | ||||
| Boulder Post Acute | NH MC SNF | Boulder | 162
Facility
162
CO AVG
95
Rank
#17 / 211 | C- |
83.8%
Facility
83.8%
CO AVG
80.6%
Rank
#71 / 147 | +4% | 3.52
Facility
3.52
CO AVG
3.91
Rank
#105 / 193 | -51% | -10% | $9.1k
Facility
$9.1k
CO AVG
$36.8k
Rank
#100 / 196 | 30
Facility
30
CO AVG
25.1
Rank
#131 / 195 | 4.3
Facility
4.3
CO AVG
5.0
Rank
#84 / 195 | 3 | 136 | - |
98
Facility
98
CO AVG
60
Rank
#1 / 232 | Mesa Vista Healthcare, LLC | $16.2MFiscal year ending 12/2024
Facility
$16.2MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#25 / 191 | $8.8MFiscal year ending 12/2024
Facility
$8.8MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#36 / 191 | 53.9%Fiscal year ending 12/2024
Facility
53.9%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#140 / 191 | 065052 | ||||
| Winding Trails Post Acute | NH HOS RC SNF | Boulder | 150
Facility
150
CO AVG
95
Rank
#22 / 211 | D- |
62.0%
Facility
62.0%
CO AVG
80.6%
Rank
#131 / 147 | -23% | 3.63
Facility
3.63
CO AVG
3.91
Rank
#94 / 193 | -45% | -7% | $90.7k
Facility
$90.7k
CO AVG
$36.8k
Rank
#187 / 196 | 69
Facility
69
CO AVG
25.1
Rank
#193 / 195 | 9.9
Facility
9.9
CO AVG
5.0
Rank
#191 / 195 | 12 | 93 | - |
98
Facility
98
CO AVG
60
Rank
#1 / 232 | Palo Community Healthcare, LLC | $10.3MFiscal year ending 12/2024
Facility
$10.3MFiscal year ending 12/2024
CO AVG
$10.8M
Rank
#89 / 191 | $5.6MFiscal year ending 12/2024
Facility
$5.6MFiscal year ending 12/2024
CO AVG
$6.7M
Rank
#113 / 191 | 54.7%Fiscal year ending 12/2024
Facility
54.7%Fiscal year ending 12/2024
CO AVG
63.3%
Rank
#135 / 191 | 065267 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CO nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Colorado
Winding Trails Post Acute is located in BOULDER, Colorado.
Here are the financial assistance programs available to residents in Colorado.
Know before you visit
Frequently Asked Questions about Winding Trails Post Acute
Quick answers from public records and the community's own listing.01 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.
02 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.
03 What is the occupancy rate at Winding Trails Post Acute?
Winding Trails Post Acute's occupancy is 62%.
04 Are pets allowed at Winding Trails Post Acute?
No, Winding Trails Post Acute has a no-pet policy.
05 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.
06 Who is the administrator of Winding Trails Post Acute?
Jihan Boughman is the administrator of Winding Trails Post Acute.
07 What is the overall rating for Winding Trails Post Acute?
Winding Trails Post Acute received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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