facebook tracking Winding Trails Post Acute, Boulder CO: CMS Ratings
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Winding Trails Post Acute

All states › Colorado › Boulder › Winding Trails Post Acute

2800 Palo Pkwy Boulder, CO 80301 · Boulder County

(303) 440-9100

All 4 nursing homes in Boulder, CO (4 take Medicaid)

Accepts Medicare Accepts Medicaid 150 certified beds For profit

CMS certification number 065267 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Winding Trails Post Acute a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Winding Trails Post Acute as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Colorado average of 3.1. Inspectors issued 69 citations in the last three years. CMS imposed 2 penalties, including $90,659 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 2.89 hours per resident per day at Winding Trails Post Acute, below the Colorado median of 3.47 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 2.68 hours, 8% below its all-week average. 34.4% of nursing staff left within a year (Colorado median 46.6%). That is lower than most homes in Colorado, a sign of a steadier team.

Nursing care per resident per day 2.89 hours
Below the Colorado median of 3.47 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.49 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.68 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 34.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 20% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds150
Residents per day 93 About 62% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1989
Part of a chainPacs Group
Legal business namePALO COMMUNITY HEALTHCARE LLC

Paying for care at Winding Trails Post Acute: Medicare and Medicaid

Winding Trails Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Colorado's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on November 21, 2024 and found 6 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 69 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 69 citations at Winding Trails Post Acute across 7 inspection dates, 23 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 7, 2024 (complaint inspection). The most common areas cited were quality of life and care (21) and administration (11). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level L, April 19, 2022). 6 citations were under CMS's abuse, neglect and exploitation rules.

October 2, 2025 · 2 citations · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Dec 9, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 9, 2025)

November 21, 2024 · 8 citations · includes complaint inspection

FAssure the security of all personal funds of residents deposited with the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0570 · Deficient, Provider has date of correction (Dec 12, 2024)

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Complaint inspection · Deficient, Provider has date of correction (Dec 20, 2024)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Dec 20, 2024)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Dec 20, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Dec 13, 2024)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Dec 20, 2024)

DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Dec 20, 2024)

DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Potential for more than minimal harm · Administration Deficiencies · Tag F0847 · Deficient, Provider has date of correction (Dec 20, 2024)

October 15, 2024 · 1 citation · includes complaint inspection

DPlan the resident's discharge to meet the resident's goals and needs.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0660 · Complaint inspection · Deficient, Provider has date of correction (Nov 1, 2024)

March 7, 2024 · 14 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jun 29, 2024)

GProvide safe, appropriate pain management for a resident who requires such services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Complaint inspection · Deficient, Provider has date of correction (May 9, 2024)

FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

FDevelop, implement, and/or maintain an effective training program for all new and existing staff members.

Potential for more than minimal harm · Administration Deficiencies · Tag F0940 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0947 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2024)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Complaint inspection · Deficient, Provider has date of correction (Jun 21, 2024)

November 20, 2023 · 4 citations · includes complaint inspection

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2023)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2023)

DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2023)

June 15, 2023 · 14 citations

FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Jul 18, 2023)

EThe resident has the right to receive notices in a format and a language he or she understands.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0574 · Deficient, Provider has date of correction (Jul 18, 2023)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jul 18, 2023)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 18, 2023)

EProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Jul 18, 2023)

EHave a policy regarding use and storage of foods brought to residents by family and other visitors.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0813 · Deficient, Provider has date of correction (Jul 18, 2023)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 18, 2023)

EHave enough outside ventilation via a window or mechanical ventilation, or both.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0923 · Deficient, Provider has date of correction (Jul 18, 2023)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jul 18, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jul 18, 2023)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Jul 18, 2023)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Jul 18, 2023)

DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jul 18, 2023)

DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Potential for more than minimal harm · Administration Deficiencies · Tag F0849 · Deficient, Provider has date of correction (Aug 8, 2023)

April 19, 2022 · 26 citations, includes immediate jeopardy

LProvide and implement an infection prevention and control program.

Immediate jeopardy · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 18, 2022)

LPerform COVID19 testing on residents and staff.

Immediate jeopardy · Infection Control Deficiencies · Tag F0886 · Deficient, Provider has date of correction (Jun 14, 2022)

LEnsure staff are vaccinated for COVID-19

Immediate jeopardy · Infection Control Deficiencies · Tag F0888 · Deficient, Provider has date of correction (Jun 14, 2022)

JProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Jun 14, 2022)

GProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 · Deficient, Provider has date of correction (Jun 14, 2022)

GAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Actual harm · Administration Deficiencies · Tag F0835 · Deficient, Provider has date of correction (Jun 14, 2022)

GEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Actual harm · Administration Deficiencies · Tag F0837 · Deficient, Provider has date of correction (Jun 14, 2022)

GDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Actual harm · Nursing and Physician Services Deficiencies · Tag F0841 · Deficient, Provider has date of correction (Jun 14, 2022)

GSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Actual harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Jun 14, 2022)

FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Potential for more than minimal harm · Administration Deficiencies · Tag F0838 · Deficient, Provider has date of correction (Jun 14, 2022)

EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Jun 14, 2022)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jun 14, 2022)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jun 14, 2022)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jun 14, 2022)

EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Jun 14, 2022)

EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Jun 14, 2022)

EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Jun 14, 2022)

EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 14, 2022)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jun 14, 2022)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jun 14, 2022)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jun 14, 2022)

DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Deficient, Provider has date of correction (Jun 14, 2022)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jun 14, 2022)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Jun 14, 2022)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 14, 2022)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Jun 14, 2022)

Questions to ask on a tour of Winding Trails Post Acute

  1. Inspectors cited the home at the immediate-jeopardy level on April 19, 2022 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on October 2, 2025. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $90,659 in fines.

DateTypeAmount or length
Mar 7, 2024 Fine $90,659
Mar 7, 2024 Payment Denial 85 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 1/5 4/5 5/5
August 2026 2/5 1/5 4/5 5/5
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Location

Hospitals near Winding Trails Post Acute

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Boulder Post Acute Boulder · 1.4 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 162 beds · Medicaid
Boulder Canyon Health and Rehabilitation Boulder · 3.2 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 140 beds · Medicaid
Frasier Meadows Health Care Center Boulder · 3.7 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 54 beds · Medicaid
Accel at Longmont Health and Rehab Longmont · 8.9 mi away Not rated Inspection — · Staffing — 5 beds · Medicaid
Coal Creek Post Acute & Assisted Living Lafayette · 10.3 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 70 beds · Medicaid

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Other PACS Group nursing homes in Colorado

Affiliation comes from CMS's affiliated-entity data, October 2026. All 277 PACS Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/colorado/boulder/winding-trails-post-acute/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.