California › San Diego County › Poway
Boulder Creek Post Acute
12696 Monte Vista Road, Poway, CA 92064
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Boulder Creek Post Acute, in Poway, California, is certified for 149 beds under for-profit, limited liability company ownership and belongs to the Madison Creek Partners chain.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.
Inspectors recorded 59 health deficiencies across the three most recent survey cycles (14, 21, 24 by cycle, most recent first), none at the actual-harm level. That is 39.6 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 26.4%.
Compared with county, state and nation
| Measure | This facility | San Diego Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 59 | 35 | 44 | 28.7 |
| Citations per 100 beds | 39.6 | 34.2 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 26.4% | 37.5% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (83 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Feb 2025, 20 May 2022.
Severity mix: D ×48 E ×10 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0625 | 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. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Mar 2025 |
| 14 Feb 2025 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 14 Mar 2025 |
| 13 Jan 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 27 Jan 2025 |
| 9 Jul 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 12 Aug 2024 |
| 9 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Aug 2024 |
| 14 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Dec 2023 |
| 20 May 2022 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0585 | 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. | E | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0584 | 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. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0732 | Post nurse staffing information every day. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0803 | 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. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 19 Jun 2022 |
| 20 May 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 19 Jun 2022 |
| 31 Oct 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0803 | 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. | E | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0578 | 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. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0688 | 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. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0758 | 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. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0761 | 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. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 30 Nov 2019 |
| 31 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Nov 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 26.4%, RNs 14.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.0% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.6% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.4% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Pomerado Operations Llc. Chain: Madison Creek Partners (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chief Joseph Trail, LLC | 5% or greater direct ownership interest | 100% | 03/02/2026 |
| Tippet, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/02/2026 |
| White Canyon, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 03/02/2026 |
| Madison Creek Partners LLC | Operational/managerial control | NOT APPLICABLE | 01/20/2015 |
| Madison Creek Partners LLC | Adp of the snf | NOT APPLICABLE | 03/28/2026 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Diego County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Arbor Hills Nursing Center | La Mesa | 100 | 5 | 4 | 3 | 37 | 37.0 | $13K | 12 Feb 2026 |
| Arroyo Vista Nursing Center | San Diego | 53 | 5 | 4 | 3 | 26 | 49.1 | — | 29 Jan 2026 |
| Bayshire Torrey Pines Post-Acute | San Diego | 45 | 5 | 4 | 3 | 50 | 111.1 | $87K | 25 Mar 2026 |
| Bradley Court | El Cajon | 56 | 5 | 5 | 5 | 19 | 33.9 | — | 13 Mar 2025 |
| Carlsbad By the Sea | Carlsbad | 33 | 5 | 5 | 5 | 8 | 24.2 | — | 25 Mar 2026 |
| Escondido Post Acute | Escondido | 180 | 5 | 4 | 3 | 42 | 23.3 | — | 1 Apr 2026 |
| Friendship Manor Nursing & Rehab Center | National City | 104 | 5 | 5 | 4 | 29 | 27.9 | $297K | 24 Jul 2025 |
| Glenbrook | Carlsbad | 94 | 5 | 4 | 5 | 24 | 25.5 | $9K | 19 Sep 2025 |
All 83 facilities in San Diego County
Questions and answers
How many deficiencies has Boulder Creek Post Acute been cited for?
59 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Boulder Creek Post Acute been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Boulder Creek Post Acute compare?
Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Boulder Creek Post Acute?
It is part of the Madison Creek Partners chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Chief Joseph Trail, LLC, Tippet, LLC and White Canyon, LLC. Individual owners and managers are not listed on this site.
When was Boulder Creek Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 14 Feb 2025; the most recent standard health survey was 14 Feb 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.