WINDING TRAILS POST ACUTE

BOULDER, CO · 150 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 5 citation(s) at the highest severity level — immediate risk to residents
  • 8 citation(s) where residents suffered actual harm
  • $101,829 in fines over 3 years

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
10
1.1x state avg
Deficiencies
$101,829
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 3, 2025

2 deficiencyies
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

November 20, 2024

8 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0570 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

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

F0644 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0679 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide activities to meet all resident's needs.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0847 Potential Harm Scope/Severity: D

Administration Deficiencies

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

F0565 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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

F0804 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

October 14, 2024

1 deficiency
F0660 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

March 6, 2024

9 deficiencyies
F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0607 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0609 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0610 Potential Harm Scope/Severity: E

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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

F0697 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0760 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

See full violation history →

Staffing

0.74
RN hrs/res/day
1.00
LPN hrs/res/day
2.07
CNA hrs/res/day
3.51
Weekend hrs/res/day
43%
Total nurse turnover
27%
RN turnover

A nurse checks on each resident roughly every 6.3 hours on average.

Fines & Penalties

  • Fine Mar 6, 2024
    $90,659
  • Payment Denial Mar 6, 2024
    Payment Denial
  • Fine Mar 22, 2023
    $11,170
Total $101,829

Ownership

For profit - Limited Liability company Chain: PACS GROUP
  • PANTHER MASTER TENANT, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2023

    100% Organization
  • PACS GROUP, INC.

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2023

    NO PERCENTAGE PROVIDED Organization
  • PACS HOLDINGS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2023

    NO PERCENTAGE PROVIDED Organization
  • PROVIDENCE GROUP NH, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 09/01/2023

    NO PERCENTAGE PROVIDED Organization
  • HANCOCK, MARK

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/15/2024

    NO PERCENTAGE PROVIDED Individual
  • MURRAY, JASON

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 04/15/2024

    NO PERCENTAGE PROVIDED Individual
  • APT, FREDERICK

    CORPORATE OFFICER

    Since since 09/01/2023

    Individual
  • HANCOCK, MARK

    CORPORATE OFFICER

    Since since 09/01/2023

    Individual
  • JERGENSEN, JOSHUA

    CORPORATE OFFICER

    Since since 01/01/2024

    Individual
  • MITCHELL, JOHN

    CORPORATE OFFICER

    Since since 09/01/2023

    Individual
  • HORTON, CHRISTOPHER

    CONTRACTED MANAGING EMPLOYEE

    Since since 07/20/2023

    Individual
  • ADLESICH, ROBERT

    W-2 MANAGING EMPLOYEE

    Since since 07/08/2024

    Individual

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