• CMS rates this facility 4/5 stars (above average)
• Has 149 certified beds with an average of 139.3 residents per day (93% occupancy)
• Last health inspection found 14 deficiencies (inspected Feb 14, 2025)
• No fines on record
• Total nursing staff: 3.78 hours per resident per day
• Staff turnover rate: 30.5%
• Part of the Madison Creek Partners chain (12 facilities)
Boulder Creek Post Acute is a 4-star Medicare and Medicaid certified nursing home in Poway, California with 149 certified beds. It has been operating since 1985. The facility scored above average compared to California facilities.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dispose of garbage and refuse properly.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Put firmly secured handrails on each side of hallways.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Allow residents to self-administer drugs if determined clinically appropriate.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure that residents are fully informed and understand their health status, care and treatments.
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
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.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Honor each resident's preferences, choices, values and beliefs.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
+ 30 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| MADISON CREEK PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Sep 16, 2014 |
| CHRISTENSEN, COVEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Sep 16, 2014 |
| CHRISTENSEN, COVEY | CORPORATE OFFICER | Individual | N/A | Sep 16, 2014 |
| CHRISTENSEN, COVEY | W-2 MANAGING EMPLOYEE | Individual | N/A | Sep 16, 2014 |
This chain operates 12 facilities. View all →