Boulder Creek Post Acute, Poway, CA: Nursing home

Overall4★★★★☆

Inspections3★★★☆☆

Staffing4★★★★☆

Quality5★★★★★

Federal finesNoneon record

Inspection citations

21’19

20’22

1’23

2’24

15’25

Year

59 shown

Date	Severity	What inspectors found	Visit
Feb 14, 2025	D · potential	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Routine
Feb 14, 2025	D · potential	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.	Routine
Feb 14, 2025	D · potential	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	Routine
Feb 14, 2025	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Feb 14, 2025	E · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Feb 14, 2025	D · potential	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	Routine
Feb 14, 2025	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Feb 14, 2025	D · potential	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	Routine
Feb 14, 2025	E · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Feb 14, 2025	E · potential	Dispose of garbage and refuse properly.	Routine
Feb 14, 2025	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Feb 14, 2025	D · potential	Provide and implement an infection prevention and control program.	Routine
Feb 14, 2025	D · potential	Put firmly secured handrails on each side of hallways.	Routine
Feb 14, 2025	E · potential	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	Routine
Jan 13, 2025	D · potential	Allow residents to self-administer drugs if determined clinically appropriate.	Complaint
Jul 9, 2024	D · potential	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	Complaint
Jul 9, 2024	D · potential	Provide and implement an infection prevention and control program.	Complaint
Dec 14, 2023	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Complaint
May 20, 2022	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
May 20, 2022	D · potential	Ensure that residents are fully informed and understand their health status, care and treatments.	Routine
May 20, 2022	E · potential	Honor the resident's right to organize and participate in resident/family groups in the facility.	Routine
May 20, 2022	D · potential	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.	Routine
May 20, 2022	E · potential	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.	Routine
May 20, 2022	D · potential	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	Routine
May 20, 2022	D · potential	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	Routine
May 20, 2022	D · potential	Ensure each resident receives an accurate assessment.	Routine
May 20, 2022	D · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
May 20, 2022	D · potential	Ensure services provided by the nursing facility meet professional standards of quality.	Routine
May 20, 2022	D · potential	Honor each resident's preferences, choices, values and beliefs.	Routine
May 20, 2022	D · potential	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	Routine
May 20, 2022	D · potential	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	Routine
May 20, 2022	D · potential	Post nurse staffing information every day.	Routine
May 20, 2022	D · potential	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.	Routine
May 20, 2022	D · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
May 20, 2022	E · potential	Provide and implement an infection prevention and control program.	Routine
May 20, 2022	D · potential	Keep all essential equipment working safely.	Routine
May 20, 2022	F · potential	Make sure that a working call system is available in each resident's bathroom and bathing area.	Routine
May 20, 2022	D · potential	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	Routine
Oct 31, 2019	D · potential	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Routine
Oct 31, 2019	D · potential	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.	Routine
Oct 31, 2019	E · potential	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Routine
Oct 31, 2019	D · potential	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	Routine
Oct 31, 2019	D · potential	Assist a resident in gaining access to vision and hearing services.	Routine
Oct 31, 2019	D · potential	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.	Routine
Oct 31, 2019	D · potential	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Routine
Oct 31, 2019	D · potential	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	Routine
Oct 31, 2019	D · potential	Provide enough food/fluids to maintain a resident's health.	Routine
Oct 31, 2019	D · potential	Provide safe and appropriate respiratory care for a resident when needed.	Routine
Oct 31, 2019	D · potential	Provide safe, appropriate pain management for a resident who requires such services.	Routine
Oct 31, 2019	D · potential	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	Routine
Oct 31, 2019	D · potential	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.	Routine
Oct 31, 2019	D · potential	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.	Routine
Oct 31, 2019	D · potential	Provide routine and 24-hour emergency dental care for each resident.	Routine
Oct 31, 2019	E · potential	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.	Routine
Oct 31, 2019	E · potential	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	Routine
Oct 31, 2019	D · potential	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Routine
Oct 31, 2019	D · potential	Employ staff that are licensed, certified, or registered in accordance with state laws.	Routine
Oct 31, 2019	D · potential	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Routine
Oct 31, 2019	D · potential	Provide and implement an infection prevention and control program.	Routine

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

Boulder Creek Post Acute
12696 Monte Vista Road, Poway, CA 92064 · (858) 487-6242

Visit date: ____________ Spoke with: ______________________

How many nurses and aides work each shift, including nights and weekends?
How do you handle the most recent citations on your record?
Do you accept Medi-Cal if private funds run out?
Who will be the main contact for the family?
How do you prevent falls, pressure sores and infections?

Record on file

Certification: Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN): 555206
Certified beds: 149
Legal owner: Pomerado Operations LLC
Part of: Madison Creek Partners

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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Boulder Creek Post Acute

Inspection citations

Questions to ask on a visit

Record on file

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