The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited May 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: F
Nursing home report
BOULDER CREEK POST ACUTE
POWAY, CA · Medicare-certified · 149 beds
In good standing
For-profitChain member
4 of 5 overall
Boulder Creek Post Acute in Poway, CA has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) and staffing (4 stars), but a middling health inspection score (3 stars). Reported nurse staffing is 3.82 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8167 hrs/resident/day
Quality measures
Last inspection: February 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8167.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.54
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.4%27.7%Worsening
Residents with a fall causing major injury
0.8%0.8%No change
Residents with pressure ulcers (bedsores)
0.8%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0.9%5.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.9%3.8%Worsening
Residents whose ability to walk got worse
12.1%3%Improving
Long-stay residents on antianxiety or sleep medication
9.2%16.5%Worsening
Short-stay residents newly given an antipsychotic
1.2%0%Improving
Residents with a long-term catheter
0%0.8%Worsening
Residents with new or worsening incontinence
12.6%2.4%Improving
Residents with depressive symptoms
5.4%4.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.3%—
Short-stay residents given the pneumonia vaccine
99.3%96.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly dispose of garbage and other waste. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: E
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MADISON CREEK PARTNERS · 13 homes · 3.5 stars avg
- Occupancy
- 141.3 residents on an average day (95% of 149 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.