WINDING TRAILS POST ACUTE

Boulder · CO · For profit - Limited Liability company · PACS GROUP chain · 150 certified beds · CCN 065267 · PALO COMMUNITY HEALTHCARE LLC


WINDING TRAILS POST ACUTE operates 150 certified beds in BOULDER, Colorado. Its Medicare and Medicaid certification dates to 1989-11-15. It averages 87.0 residents a day.

What harm was found in the violations cited at WINDING TRAILS POST ACUTE?

CMS lists 69 health-inspection deficiencies for WINDING TRAILS POST ACUTE since 2022-04-19, 29 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2025-10-02.

Survey dateTagDeficiencySeverity
2025-10-02F0600, F0684Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-11-21F0570Assure the security of all personal funds of residents deposited with the facility.F
2024-11-21F0565, F0804Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-11-21F0554, F0644, F0679, F0688, F0847Allow residents to self-administer drugs if determined clinically appropriate. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide activities to meet all resident's needs. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D
2024-10-15F0660Plan the resident's discharge to meet the resident's goals and needs.D
2024-03-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-03-07F0600, F0697Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide safe, appropriate pain management for a resident who requires such services.G
2024-03-07F0812, F0835, F0838, F0867, F0940Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Develop, implement, and/or maintain an effective training program for all new and existing staff members.F
2024-03-07F0607, F0609, F0610, F0760, F0947Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure that residents are free from significant medication errors. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2024-03-07F0578Honor 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.D
2023-11-20F0880Provide and implement an infection prevention and control program.F
2023-11-20F0677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-11-20F0585, F0689Honor 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-06-15F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2023-06-15F0574, F0677, F0689, F0697, F0813, F0880, F0923The resident has the right to receive notices in a format and a language he or she understands. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. / Have enough outside ventilation via a window or mechanical ventilation, or both.E
2023-06-15F0550, F0658, F0686, F0692, F0758, F0849Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Implement 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. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2022-04-19F0880, F0886, F0888Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff. / Ensure staff are vaccinated for COVID-19L
2022-04-19F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2022-04-19F0603, F0835, F0837, F0841, F0867Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Establish 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. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.G
2022-04-19F0838Conduct 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.F
2022-04-19F0585, F0657, F0679, F0684, F0688, F0726, F0758, F0761Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Implement 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. / Ensure 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.E
2022-04-19F0550, F0578, F0658, F0676, F0677, F0685, F0689, F0791Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide or obtain dental services for each resident.D

Why was WINDING TRAILS POST ACUTE fined?

DateTypeAmount
2024-03-07Fine$90,659

Has WINDING TRAILS POST ACUTE had payment denied by Medicare?

Payment denial startLength in days
2024-04-0585

How is WINDING TRAILS POST ACUTE staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.200913.72368
Total nursing staff turnover (%)31.047.1
Average number of residents per day87.074.8

Who owns WINDING TRAILS POST ACUTE, and what chain is it in?

WINDING TRAILS POST ACUTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name PALO COMMUNITY HEALTHCARE LLC and belongs to the PACS GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPANTHER MASTER TENANT, LLCsince 09/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTPROVIDENCE GROUP NH, LLCsince 09/01/2023
CONTRACTED MANAGING EMPLOYEEHORTON, CHRISTOPHERsince 07/20/2023
W-2 MANAGING EMPLOYEEADLESICH, ROBERTsince 07/08/2024
CORPORATE OFFICERAPT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHNsince 01/01/2024

Were you or a family member harmed at WINDING TRAILS POST ACUTE?