Boulder Creek Post Acute

Nursing Home · Poway, CA

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number555206

Contact & location

12696 Monte Vista Road
Poway, CA 92064
San Diego County
Phone
(858) 487-6242
ZIP code
92064 – all care providers

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Facility details

Certified beds
149
Residents per day
142.1 (95% occupied)
Ownership
For profit - Limited Liability company
Legal name
Pomerado Operations LLC
Chain
Madison Creek Partners (13 facilities, avg 3.2★)
Medicare certified since
July 26, 1985
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.2
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.83 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.51 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.77 (state 1.20 · U.S. 0.86)
Nurse aides
2.55 (state 2.65 · U.S. 2.32)
Weekend total
3.65 (state 4.09 · U.S. 3.42)
Nursing staff turnover
26.4 (state 36.7 · U.S. 45.8)%
RN turnover
14.3 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 14, 2025
Health deficiencies (last cycle)
14.0 (state 15.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
52 health · 28 fire safety
DateCitationSeverityStatus
2025-02-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-02-14 Put firmly secured handrails on each side of hallways.
F0924 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-14
2025-01-13 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-27
2024-07-09 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-12
2024-07-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-12
2023-12-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2022-05-20 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 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.
F0585 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Honor each resident's preferences, choices, values and beliefs.
F0675 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2022-05-20 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2022-06-19
2019-10-31 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 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.
F0803 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30
2019-10-31 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2019-11-30

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Chief Joseph Trail, LLC (organization)5%+ Direct Ownership Interest · 100%
Clegg, Michael (individual)5%+ Indirect Ownership Interest
Tippet, LLC (organization)5%+ Indirect Ownership Interest
White Canyon, LLC (organization)5%+ Indirect Ownership Interest
Chang, Alan (individual)Administrator · NOT APPLICABLE
Christensen, Covey (individual)Administrator · NOT APPLICABLE
Clegg, Michael (individual)Administrator · NOT APPLICABLE
Hopkins, Amber (individual)Administrator · NOT APPLICABLE
Ikerd, John (individual)Administrator · NOT APPLICABLE
Madison Creek Partners LLC (organization)Administrator · NOT APPLICABLE
Mason, Timothy (individual)Administrator · NOT APPLICABLE
Clegg, Michael (individual)Managing Control - Governing Body · NOT APPLICABLE
Ikerd, John (individual)Managing Control - Governing Body · NOT APPLICABLE
Chang, Alan (individual)Operational/managerial Control · NOT APPLICABLE
Christensen, Covey (individual)Operational/managerial Control · NOT APPLICABLE
Clegg, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Hopkins, Amber (individual)Operational/managerial Control · NOT APPLICABLE
Ikerd, John (individual)Operational/managerial Control · NOT APPLICABLE
Madison Creek Partners LLC (organization)Operational/managerial Control · NOT APPLICABLE
Mason, Timothy (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Boulder Creek Post Acute?

Boulder Creek Post Acute has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Boulder Creek Post Acute have?

It has 149 certified beds and cares for about 142 residents per day.

Has Boulder Creek Post Acute been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Boulder Creek Post Acute?

It is part of Madison Creek Partners and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Boulder Creek Post Acute?

(858) 487-6242. The facility is located at 12696 Monte Vista Road, Poway, CA 92064.

Other nursing homes in Poway

Compare all nursing homes in Poway, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.