Boulder County, Colorado · Nursing home
Winding Trails Post Acute
2 of 5 overall from CMS
2800 Palo Pkwy, Boulder, CO 80301
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.20 hours Below the state average of 3.72
- Nursing staff who left in a year 31.0% Below the state average of 47.1%
- Health citations, last 3 inspection cycles 69 12 at the harm level or above
- Fines in 3 years $90,659 1 fine
- Certified beds in use 58.0% of 150 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Winding Trails Post Acute is a 150-bed nursing home in Boulder, Colorado (Boulder County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.20 nurse staffing hours per resident per day, below the Colorado average of 3.72. CMS lists 1 fine totaling $90,659 in the past three years.
- Certified beds
- 150
- Residents per day (average)
- 87.0
- Certified since
- 1989 (37 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Pacs Group (275 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Winding Trails Post Acute
Chosen from this home's public data.
- CMS lists 1 fine totaling $90,659 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 10 health deficiencies in the latest inspection cycle (the standard inspection on Nov 21, 2024 plus complaint and infection-control inspections); the Colorado average is 8.7. Which have been corrected?Inspection results in CMS data
- About 58.0% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Colorado average 3.2
- Health inspections 1 of 5 Colorado average 2.7
- Staffing 4 of 5 Colorado average 3.2
- Quality measures 5 of 5 Colorado average 4.1
The vertical line marks the Colorado average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.20 h Colorado average 3.72
- Nurse aides 1.77 h Colorado average 2.21
- Licensed practical nurses 0.82 h Colorado average 0.68
- Registered nurses 0.61 h Colorado average 0.82
- All staff, weekends 3.00 h Colorado average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Colorado average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover31.0%
- Colorado average47.1%
- Registered nurse turnover27.3%
- Colorado average44.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Colorado and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Colorado | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 3.9% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.4% | 4.7% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 1.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.5% | 8.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% | 3.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.8% | 93.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 4.4% | 13.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.5% | 11.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.7% | 94.7% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.7% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.0% | 21.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 22.1% | 20.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.67 | 1.38 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.32 | 1.74 | 1.78 |
Short-stay residents
| Measure | This home | Colorado | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.0% | 76.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 4.4% | 1.6% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.2% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% | 20.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% | 12.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 69 health deficiencies in the three most recent inspection cycles. Of these, 5 were at the immediate jeopardy level and 7 involved actual harm; the rest were graded as no actual harm. 23 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 7, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 21, 2024 | 10 | 9 |
| Jun 15, 2023 | 15 | 11 |
| Apr 19, 2022 | 44 | 4 |
Colorado homes averaged 8.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (69)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 9, 2025)
-
FPotential for more than minimal harm, widespread
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights · Deficient, Provider has date of correction (Dec 12, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 20, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Dec 20, 2024)
Show 25 more
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Dec 20, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 13, 2024)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 20, 2024)
-
DPotential for more than minimal harm, isolated
Provide 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.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 20, 2024)
-
DPotential for more than minimal harm, isolated
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Dec 20, 2024)
-
DPotential for more than minimal harm, isolated
Plan the resident's discharge to meet the resident's goals and needs.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 1, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2024)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 29, 2024)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 17, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 17, 2024)
-
FPotential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Apr 17, 2024)
-
FPotential for more than minimal harm, widespread
Conduct 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.
Complaint investigation · Administration · Deficient, Provider has date of correction (May 9, 2024)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (Apr 17, 2024)
-
FPotential for more than minimal harm, widespread
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Complaint investigation · Administration · Deficient, Provider has date of correction (Apr 17, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 17, 2024)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 17, 2024)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 17, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 17, 2024)
-
EPotential for more than minimal harm, pattern
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Apr 17, 2024)
-
DPotential for more than minimal harm, isolated
Honor 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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 21, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Dec 18, 2023)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2023)
-
DPotential for more than minimal harm, isolated
Honor 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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 18, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 18, 2023)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Jul 18, 2023)
Showing the 30 most recent of 69.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 7, 2024 | Fine | $90,659 |
| Mar 7, 2024 | Payment Denial | 85 days |
Colorado homes averaged 1.1 fines and $22,802 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Colorado
- Size22 of 210 by certified beds
- Colorado average residents per day74.9
- ChainPacs Group
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in Boulder4
- Homes in Boulder County10
Common questions
What is the CMS star rating for Winding Trails Post Acute?
Winding Trails Post Acute has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 5.
How many beds does Winding Trails Post Acute have?
Winding Trails Post Acute has 150 certified beds. It averages 87.0 residents per day, about 58.0% of its certified beds.
How much nursing care do residents get at Winding Trails Post Acute?
The home reports 3.20 hours of nurse staffing per resident per day, including 0.61 hours from registered nurses. The Colorado average is 3.72 hours and 0.82 hours from registered nurses.
Has Winding Trails Post Acute been fined?
Yes. CMS lists 1 fine totaling $90,659 in the past three years. It also lists 1 payment denial.
Does Winding Trails Post Acute accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Boulder Post Acute 162beds 83.6%in use 3.31nurse hours a day
- 4 of 5 Boulder Canyon Health and Rehabilitation 140beds 86.5%in use 3.43nurse hours a day
- 5 of 5 Frasier Meadows Health Care Center 54beds 86.3%in use 5.18nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Boulder County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 065267. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.