Boulder Creek Post Acute, Poway CA: CMS Ratings

All states › California › Poway › Boulder Creek Post Acute

12696 Monte Vista Road Poway, CA 92064 · San Diego County

(858) 487-6242

All 3 nursing homes in Poway, CA (3 take Medicaid)

Accepts Medicare Accepts Medicaid 149 certified beds For profit

CMS certification number 555206 · See this home on Medicare Care Compare

CMS overall rating

★★★★☆ 4 out of 5 stars · Oct 2026

3/5 Inspections

4/5 Staffing

5/5 Quality

5/5Short-stay (rehab) quality

5/5Long-stay quality

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Quick facts

Certified beds: 149
Residents per day: 137
Ownership: For profit
Nurse hours per resident a day: 3.87
Last inspection: Feb 14, 2025
Citations, 3 years: 59
Fines, 3 years: None

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Boulder Creek Post Acute a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Boulder Creek Post Acute as of October 2026.

CMS rates it 4 out of 5 stars overall, above the California average of 3.2. Inspectors issued 59 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.87 hours per resident per day at Boulder Creek Post Acute, below the California median of 4.27 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 3.67 hours, 5% below its all-week average. 26.7% of nursing staff left within a year (California median 36%).

Nursing care per resident per day 3.87 hours

Below the California median of 4.27 Registered nurses, licensed practical nurses and aides combined, from payroll records.

Registered nurse hours 0.53 per resident a day RNs handle assessments, medications and changes in condition.

Weekend nursing care 3.67 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.

Nursing staff turnover 26.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.

Registered nurse turnover 20% a year Share of registered nurses who left over a year.

Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds149

Residents per day 137 About 92% of beds filled, on average

OwnershipFor profit - Limited Liability company

Payment acceptedMedicare and Medicaid

Certified sinceJuly 1985

Part of a chainMadison Creek Partners

Legal business namePOMERADO OPERATIONS LLC

Paying for care at Boulder Creek Post Acute: Medicare and Medicaid

Boulder Creek Post Acute is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet California's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 14, 2025 and found 14 deficiencies. In total, inspectors issued 59 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 59 citations at Boulder Creek Post Acute across 6 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 59 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (16) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "make sure that a working call system is available in each resident's bathroom and bathing area" (tag F0919, level F, May 20, 2022). 1 citation was under CMS's abuse, neglect and exploitation rules.

February 14, 2025 · 14 citations

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 14, 2025)

EDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Mar 14, 2025)

DNotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Mar 14, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Mar 14, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 14, 2025)

DPut firmly secured handrails on each side of hallways.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0924 · Deficient, Provider has date of correction (Mar 14, 2025)

January 13, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Complaint inspection · Deficient, Provider has date of correction (Jan 27, 2025)

July 9, 2024 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Aug 12, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Aug 12, 2024)

December 14, 2023 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Dec 21, 2023)

May 20, 2022 · 20 citations

FMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Jun 19, 2022)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Jun 19, 2022)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Jun 19, 2022)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 19, 2022)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jun 19, 2022)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jun 19, 2022)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jun 19, 2022)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Jun 19, 2022)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Jun 19, 2022)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jun 19, 2022)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 19, 2022)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jun 19, 2022)

DHonor each resident's preferences, choices, values and beliefs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0675 · Deficient, Provider has date of correction (Jun 19, 2022)

DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Deficient, Provider has date of correction (Jun 19, 2022)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Jun 19, 2022)

DPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jun 19, 2022)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Jun 19, 2022)

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jun 19, 2022)

DKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Jun 19, 2022)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Jun 19, 2022)

October 31, 2019 · 21 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Nov 30, 2019)

EEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Nov 30, 2019)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Nov 30, 2019)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Nov 30, 2019)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Nov 30, 2019)

DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Deficient, Provider has date of correction (Nov 30, 2019)

DAssist a resident in gaining access to vision and hearing services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0685 · Deficient, Provider has date of correction (Nov 30, 2019)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Nov 30, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Nov 30, 2019)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Nov 30, 2019)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Nov 30, 2019)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Nov 30, 2019)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (Nov 30, 2019)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Nov 30, 2019)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Nov 30, 2019)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Nov 30, 2019)

DProvide routine and 24-hour emergency dental care for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0790 · Deficient, Provider has date of correction (Nov 30, 2019)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 30, 2019)

DEmploy staff that are licensed, certified, or registered in accordance with state laws.

Potential for more than minimal harm · Administration Deficiencies · Tag F0839 · Deficient, Provider has date of correction (Nov 30, 2019)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Nov 30, 2019)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 30, 2019)

Questions to ask on a tour of Boulder Creek Post Acute

CMS cited the home under its abuse and neglect rules on May 20, 2022. How are staff trained, and how are concerns reported?
Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS month	Overall	Inspection	Staffing	Quality
October 2026	4/5	3/5	4/5	5/5
August 2026	4/5	3/5	4/5	5/5

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Location

Hospitals near Boulder Creek Post Acute

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

0.4 mi
Palomar Medical Center Poway Poway
Emergency room ★★★★☆ Medicare overall 4 of 5
Median ER visit 3h 20m for patients treated and sent home
1.5 mi
Aurora Behavioral Healthcare San Diego
No ER listed in Medicare data
9.1 mi
Palomar Medical Center Escondido
Emergency room ★★★☆☆ Medicare overall 3 of 5
Median ER visit 3h 51m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Poway Healthcare Center Poway · 0.6 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 99 beds · Medicaid Compare

The Villas at Poway Poway · 0.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 1/5 129 beds · Medicaid Compare

Carmel Mountain Rehabilitation & Healthcare Center San Diego · 1.8 mi away ★★★☆☆ Inspection 2/5 · Staffing 4/5 120 beds · Medicaid Compare

Villa Rancho Bernardo Care Center San Diego · 2.4 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 299 beds · Medicaid Compare

Casa De Las Campanas San Diego · 4.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 99 beds Compare

More nursing homes near Boulder Creek Post Acute › All nursing homes in Poway ›

Compare Boulder Creek Post Acute with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Villa Rancho Bernardo Care Center · San Diego · 5 stars · 2.4 mi
Redwood Terrace Health Center · Escondido · 5 stars · 7.9 mi
Escondido Post Acute · Escondido · 5 stars · 9.6 mi

Other Madison Creek Partners nursing homes in California

Cedar Mountain Post Acute · Yucaipa · 4 stars
Dinuba Healthcare · Dinuba · 4 stars
Parkway Hills Nursing & Rehabilitation · La Mesa · 4 stars
Madison Grove Post Acute · Redlands · 3 stars

Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Madison Creek Partners nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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