WINDING TRAILS POST ACUTE
2800 PALO PKWY, BOULDER, CO 80301 · CCN 065267
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 150
- Avg residents/day
- 86.4
- Phone
- 3034409100
Inspection history vs Colorado & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Colorado avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-21 | 10 | 8.7 | 9.5 | +1.3 worse |
| 2 | 2023-06-15 | 29 | 8.7 | 9.8 | +20.3 worse |
| 3 | 2022-04-19 | 31 | 7.5 | 9.3 | +23.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.16 | 42.6% |
| RN staffing (reported) | 0.61 | 27.3% |
| Total nurse staffing (adjusted) | 3.81 | — |
Fines & penalties
- Total fines
- $101,829
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (70)5 immediate jeopardy8 actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-10-02 · Health · corrected 2025-12-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-02 · Health · corrected 2025-12-09
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-11-21 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-11-21 · Health · corrected 2024-12-20
Potential for more than minimal harm
- FF0570Assure the security of all personal funds of residents deposited with the facility.2024-11-21 · Health · corrected 2024-12-12
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-11-21 · Health · corrected 2024-12-13
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-11-21 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0688Provide 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.2024-11-21 · Health · corrected 2024-12-20
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-21 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-11-21 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-10-15 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0578Honor 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.2024-03-07 · Health · corrected 2024-06-21
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-07 · Health · corrected 2024-06-29
Actual harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-07 · Health · corrected 2024-04-17
Immediate jeopardy
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-07 · Health · corrected 2024-04-17
Actual harm
- EF0760Ensure that residents are free from significant medication errors.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- FF0838Conduct 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.2024-03-07 · Health · corrected 2024-05-09
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-07 · Health · corrected 2024-04-17
Potential for more than minimal harm
- DF0585Honor 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.2023-11-20 · Health · corrected 2023-12-18
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-20 · Health · corrected 2023-12-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-20 · Health · corrected 2023-12-18
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-11-20 · Health · corrected 2023-12-18
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0574The resident has the right to receive notices in a format and a language he or she understands.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-15 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0758Implement 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.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-06-15 · Health · corrected 2023-08-08
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- EF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2023-06-15 · Health · corrected 2023-07-18
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-23 · Health · corrected 2023-04-26
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- DF0578Honor 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.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- EF0585Honor 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.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2022-04-19 · Health · corrected 2022-06-14
Actual harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-04-19 · Health · corrected 2022-06-14
Immediate jeopardy
- EF0688Provide 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.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- EF0758Implement 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.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- EF0761Ensure 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.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- GF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2022-04-19 · Health · corrected 2022-06-14
Actual harm
- GF0837Establish 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.2022-04-19 · Health · corrected 2022-06-14
Actual harm
- FF0838Conduct 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.2022-04-19 · Health · corrected 2022-06-14
Potential for more than minimal harm
- GF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2022-04-19 · Health · corrected 2022-06-14
Actual harm
- GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-04-19 · Health · corrected 2022-06-14
Actual harm
- LF0880Provide and implement an infection prevention and control program.2022-04-19 · Health · corrected 2022-05-18
Immediate jeopardy
- LF0886Perform COVID19 testing on residents and staff.2022-04-19 · Health · corrected 2022-06-14
Immediate jeopardy
- LF0888Ensure staff are vaccinated for COVID-192022-04-19 · Health · corrected 2022-06-14
Immediate jeopardy
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PANTHER MASTER TENANT, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-09-01 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-09-01 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-09-01 |
| PROVIDENCE GROUP NH, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-09-01 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2023-09-01 |
| HANCOCK, MARK | Individual | CORPORATE OFFICER | — | 2023-09-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2023-09-01 |
| HORTON, CHRISTOPHER | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-07-20 |
| ADLESICH, ROBERT | Individual | W-2 MANAGING EMPLOYEE | — | 2024-07-08 |
Other facilities in BOULDER
| Name | Overall | Beds |
|---|---|---|
| BOULDER CANYON HEALTH AND REHABILITATION | ★★★★★ | 140 |
| FRASIER MEADOWS HEALTH CARE CENTER | ★★★★★ | 54 |
| BOULDER POST ACUTE | ★★☆☆☆ | 162 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.