nursing home in Poway, CA

Boulder Creek Post Acute

12696 Monte Vista Road, Poway, CA 92064 · (858) 487-6242

★★★★★4
Above average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★4
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Boulder Creek Post Acute at a glance

Boulder Creek Post Acute is a 149-bed for-profit nursing home in Poway, California (San Diego County).

CMS gives it 4 out of 5 stars on its overall star rating, better than the California average of 3.2.

Residents receive about 3.8 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (February 14, 2025) found 14 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 26.4% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
149
Certified for
Medicare and Medicaid
Chain / affiliated entity
Madison Creek Partners
Medicare-certified since
July 26, 1985
Resident/family council
Resident
County
San Diego County
CMS Certification Number
555206

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)4 / 53.2 / 53 / 5Better
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)4 / 53.3 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)5 / 54.1 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)4 / 53.6 / 53.3 / 5Better

Staffing

This facility3.83 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.83 hrs4.52 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.51 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.55 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.65 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)26.4%36.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)14.3%38.1%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility14California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)14169Worse
Citations from complaint investigations (latest cycle) (lower is better)043Better
Weighted health inspection score ⓘ (lower is better)84105.880.6Average

Penalties

This facility0California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds14999107
Average residents per day1428886
Occupancy95.4%88.4%80.9%

Long-stay residents

This facility0.6%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.6%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)0%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)18.4%12%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.4%1.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.2%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)5%10.2%13.9%Better
Long-stay residents whose walking worsened (lower is better)4.6%9.8%14.1%Better
Long-stay residents who lose too much weight (lower is better)3.3%4%5.2%Better
Long-stay residents with depressive symptoms (lower is better)5.1%7.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)14.9%13.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)5.2%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)99.3%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98.5%94.4%82%Better

Inspection citations

State inspectors cited this home for 59 health deficiencies and 36 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
February 14, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
F
Potential harm, widespread
Corrected March 26, 2025
February 14, 2025
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected March 26, 2025
February 14, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 26, 2025
February 14, 2025
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
E
Potential harm, pattern
Corrected March 26, 2025
February 14, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected March 26, 2025
February 14, 2025
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
E
Potential harm, pattern
Corrected March 26, 2025
February 14, 2025
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected March 26, 2025
February 14, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected March 26, 2025
February 14, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
C
No harm, widespread
Corrected March 26, 2025
February 14, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected March 14, 2025
February 14, 2025
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
E
Potential harm, pattern
Corrected March 14, 2025
February 14, 2025
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected March 14, 2025
February 14, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected March 14, 2025
February 14, 2025
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · Tag F0924
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected March 14, 2025
February 14, 2025
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected March 14, 2025
January 13, 2025
Complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Tag F0554
D
Potential harm, isolated
Corrected January 27, 2025
July 9, 2024
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected August 12, 2024
July 9, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 12, 2024
April 24, 2024
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
E
Potential harm, pattern
Corrected May 30, 2024
December 14, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 21, 2023
May 20, 2022
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected June 23, 2022
May 20, 2022
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected June 23, 2022
May 20, 2022
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies · Tag E0018
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies · Tag E0031
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected June 23, 2022
May 20, 2022
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
F
Potential harm, widespread
Corrected June 19, 2022
May 20, 2022
Standard
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.
Resident Rights Deficiencies · Tag F0585
E
Potential harm, pattern
Corrected June 19, 2022
May 20, 2022
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected June 19, 2022
May 20, 2022
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 19, 2022
May 20, 2022
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies · Tag F0675
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 19, 2022
May 20, 2022
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 19, 2022
October 31, 2019
Fire safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies · Tag K0346
F
Potential harm, widespread
Corrected December 23, 2019
October 31, 2019
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected December 23, 2019
October 31, 2019
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
E
Potential harm, pattern
Corrected December 23, 2019
October 31, 2019
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
D
Potential harm, isolated
Corrected December 23, 2019
October 31, 2019
Fire safety
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies · Tag E0032
D
Potential harm, isolated
Corrected December 23, 2019
October 31, 2019
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected December 23, 2019
October 31, 2019
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected December 23, 2019
October 31, 2019
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected December 23, 2019
October 31, 2019
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected November 30, 2019
October 31, 2019
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected November 30, 2019
October 31, 2019
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected November 30, 2019
October 31, 2019
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
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 Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · Tag F0839
D
Potential harm, isolated
Corrected November 30, 2019
October 31, 2019
Standard
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Tag F0790
D
Potential harm, isolated
Corrected November 30, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CHIEF JOSEPH TRAIL, LLC
Organization
5% or greater direct ownership interest100%03/02/2026
CLEGG, MICHAEL
Individual
5% or greater indirect ownership interest—03/02/2026
TIPPET, LLC
Organization
5% or greater indirect ownership interest—03/02/2026
WHITE CANYON, LLC
Organization
5% or greater indirect ownership interest—03/02/2026
CHANG, ALAN
Individual
adp of the snfNOT APPLICABLE02/01/2004
CHRISTENSEN, COVEY
Individual
adp of the snfNOT APPLICABLE01/20/2015
CLEGG, MICHAEL
Individual
adp of the snfNOT APPLICABLE06/26/2023
HOPKINS, AMBER
Individual
adp of the snfNOT APPLICABLE12/01/2021
IKERD, JOHN
Individual
adp of the snfNOT APPLICABLE04/25/2022
MADISON CREEK PARTNERS LLC
Organization
adp of the snfNOT APPLICABLE03/28/2026
MASON, TIMOTHY
Individual
adp of the snfNOT APPLICABLE09/01/2022
CLEGG, MICHAEL
Individual
managing control - governing bodyNOT APPLICABLE06/26/2023
IKERD, JOHN
Individual
managing control - governing bodyNOT APPLICABLE03/02/2026
CHANG, ALAN
Individual
operational/managerial controlNOT APPLICABLE02/01/2004
CHRISTENSEN, COVEY
Individual
operational/managerial controlNOT APPLICABLE01/20/2015
CLEGG, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE06/26/2023
HOPKINS, AMBER
Individual
operational/managerial controlNOT APPLICABLE12/01/2021
IKERD, JOHN
Individual
operational/managerial controlNOT APPLICABLE04/25/2022
MADISON CREEK PARTNERS LLC
Organization
operational/managerial controlNOT APPLICABLE01/20/2015
MASON, TIMOTHY
Individual
operational/managerial controlNOT APPLICABLE09/01/2022

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Frequently asked questions

What is Boulder Creek Post Acute's rating?

Boulder Creek Post Acute has 4 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Boulder Creek Post Acute receive?

Its most recent standard health inspection found 14 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Boulder Creek Post Acute accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Boulder Creek Post Acute?

It is for profit - limited liability company and part of Madison Creek Partners. The ownership section on this page lists the owners and managers reported to CMS.

Where is Boulder Creek Post Acute and how do I contact it?

Boulder Creek Post Acute is at 12696 Monte Vista Road, Poway, CA 92064. Phone: (858) 487-6242.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.