Boulder Creek Post Acute

12696 Monte Vista Road · Poway, CA · 92064 · 8584876242

149 certified beds For profit - Limited Liability company Chain: Madison Creek Partners

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 76 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 100
Staffing 20% 72
Federal penalties 15% 100
Trend 10% 74
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.823.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day3.68≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)none

Inspection citations (59 in the current record)

  • Potential for harm · D February 14, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected March 14, 2025 · Resident Rights

  • Potential for harm · D February 14, 2025

    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.

    Corrected March 14, 2025 · Resident Rights

  • Potential for harm · D February 14, 2025

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

    Corrected March 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 14, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 14, 2025

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

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D February 14, 2025

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D February 14, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 14, 2025 · Quality of Life and Care

  • Potential for harm · D February 14, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 14, 2025 · Pharmacy Service

  • Potential for harm · E February 14, 2025

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

    Corrected March 14, 2025 · Nutrition and Dietary

  • Potential for harm · E February 14, 2025

    Dispose of garbage and refuse properly.

    Corrected March 14, 2025 · Nutrition and Dietary

  • Potential for harm · D February 14, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 14, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 14, 2025 · Infection Control

  • Potential for harm · D February 14, 2025

    Put firmly secured handrails on each side of hallways.

    Corrected March 14, 2025 · Environmental

  • Potential for harm · E February 14, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected March 14, 2025 · Environmental

  • Potential for harm · D January 13, 2025 · found via complaint

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

    Corrected January 27, 2025 · Resident Rights

  • Potential for harm · D July 9, 2024 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected August 12, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 9, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 12, 2024 · Infection Control

  • Potential for harm · D December 14, 2023 · found via complaint

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

    Corrected December 21, 2023 · Quality of Life and Care

  • Potential for harm · D May 20, 2022

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 19, 2022 · Resident Rights

  • Potential for harm · D May 20, 2022

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected June 19, 2022 · Resident Rights

  • Potential for harm · E May 20, 2022

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

    Corrected June 19, 2022 · Resident Rights

  • Potential for harm · D May 20, 2022

    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.

    Corrected June 19, 2022 · Resident Rights

  • Potential for harm · E May 20, 2022

    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.

    Corrected June 19, 2022 · Resident Rights

  • Potential for harm · D May 20, 2022

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected June 19, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 20, 2022

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected June 19, 2022 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555206 · certified since July 26, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.