Winding Trails Post Acute
2800 Palo Pkwy · Boulder, CO · 80301 · 3034409100
150 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 7 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $90,659 |
Inspection citations (69 in the current record)
-
Potential for harm · D October 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D October 2, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 9, 2025 · Quality of Life and Care
-
Potential for harm · D November 21, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 20, 2024 · Resident Rights
-
Potential for harm · F November 21, 2024
Assure the security of all personal funds of residents deposited with the facility.
Corrected December 12, 2024 · Resident Rights
-
Potential for harm · D November 21, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 13, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 21, 2024
Provide activities to meet all resident's needs.
Corrected December 20, 2024 · Quality of Life and Care
-
Potential for harm · D November 21, 2024
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.
Corrected December 20, 2024 · Quality of Life and Care
-
Potential for harm · D November 21, 2024
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected December 20, 2024 · Administration
-
Potential for harm · E November 21, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 20, 2024 · Resident Rights
-
Potential for harm · E November 21, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 20, 2024 · Nutrition and Dietary
-
Potential for harm · D October 15, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected November 1, 2024 · Resident Assessment and Care Planning
-
Immediate jeopardy · J March 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2024 · Quality of Life and Care
-
Actual harm · G March 7, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G March 7, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 17, 2024 · Quality of Life and Care
-
Potential for harm · D March 7, 2024 · found via complaint
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.
Corrected June 21, 2024 · Resident Rights
-
Potential for harm · E March 7, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 7, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 7, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 17, 2024 · Pharmacy Service
-
Potential for harm · F March 7, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2024 · Nutrition and Dietary
-
Potential for harm · F March 7, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 17, 2024 · Administration
-
Potential for harm · F March 7, 2024 · found via complaint
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.
Corrected May 9, 2024 · Administration
-
Potential for harm · F March 7, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 17, 2024 · Administration
-
Potential for harm · F March 7, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 17, 2024 · Administration
-
Potential for harm · E March 7, 2024 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 17, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 7, 2024 | Fine | $90,659 |
| March 7, 2024 | Payment Denial | 85 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065267 · certified since November 15, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.