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San Diego County, California · Nursing home

Boulder Creek Post Acute

4 of 5 overall from CMS

12696 Monte Vista Road, Poway, CA 92064

Call (858) 487-6242Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Boulder Creek Post Acute is a 149-bed nursing home in Poway, California (San Diego County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.83 nurse staffing hours per resident per day, below the California average of 4.52. CMS lists no fines in the past three years.

Certified beds
149
Residents per day (average)
142.1
Certified since
1985 (41 yrs)

For profit - Limited Liability company Participates in Medicare and MedicaidPart of Madison Creek Partners (13 homes)

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Boulder Creek Post Acute

Chosen from this home's public data.

  1. About 95.4% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
  2. Registered nurse time is 0.51 hours per resident per day; the California average is 0.67. Is an RN on site overnight?RN staffing in CMS data
  3. What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homeCaliforniaU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 5.0% 10.2% 13.9%
Percentage of long-stay residents who lose too much weight 3.3% 4.0% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2% 0.8% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 0.4% 1.2% 1.6%
Percentage of long-stay residents who have depressive symptoms 5.1% 7.3% 12.8%
Percentage of long-stay residents who were physically restrained 0.0% 0.4% 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury 0.6% 1.6% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0% 98.6% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 4.6% 9.8% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.9% 13.7% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0% 98.2% 95.5%
★ Percentage of long-stay residents with pressure ulcers 0.0% 4.3% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 5.2% 10.2% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 18.4% 12.0% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days 1.26 2.25 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days 1.66 1.57 1.78

Short-stay residents

MeasureThis homeCaliforniaU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.5% 94.4% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 0.0% 1.5% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 99.3% 93.2% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission 19.5% 23.0% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit 12.2% 11.2% 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 59 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 4 were cited in connection with a complaint investigation.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
Feb 14, 2025149
May 20, 20222118
Oct 31, 2019249

California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (59)

  1. EPotential for more than minimal harm, pattern

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

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)

  2. EPotential for more than minimal harm, pattern

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

    Nutrition and Dietary · Deficient, Provider has date of correction (Mar 14, 2025)

  3. EPotential for more than minimal harm, pattern

    Dispose of garbage and refuse properly.

    Nutrition and Dietary · Deficient, Provider has date of correction (Mar 14, 2025)

  4. EPotential for more than minimal harm, pattern

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

    Environmental · Deficient, Provider has date of correction (Mar 14, 2025)

  5. DPotential for more than minimal harm, isolated

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

    Resident Rights · Deficient, Provider has date of correction (Mar 14, 2025)

Show 25 more

  1. DPotential for more than minimal harm, isolated

    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.

    Resident Rights · Deficient, Provider has date of correction (Mar 14, 2025)

  2. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 14, 2025)

  3. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 14, 2025)

  4. DPotential for more than minimal harm, isolated

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

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)

  5. DPotential for more than minimal harm, isolated

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

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)

  6. DPotential for more than minimal harm, isolated

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

    Pharmacy Service · Deficient, Provider has date of correction (Mar 14, 2025)

  7. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 14, 2025)

  8. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Mar 14, 2025)

  9. DPotential for more than minimal harm, isolated

    Put firmly secured handrails on each side of hallways.

    Environmental · Deficient, Provider has date of correction (Mar 14, 2025)

  10. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 27, 2025)

  11. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 12, 2024)

  12. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 12, 2024)

  13. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 21, 2023)

  14. FPotential for more than minimal harm, widespread

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

    Environmental · Deficient, Provider has date of correction (Jun 19, 2022)

  15. EPotential for more than minimal harm, pattern

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

    Resident Rights · Deficient, Provider has date of correction (Jun 19, 2022)

  16. EPotential for more than minimal harm, pattern

    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.

    Resident Rights · Deficient, Provider has date of correction (Jun 19, 2022)

  17. EPotential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jun 19, 2022)

  18. DPotential for more than minimal harm, isolated

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

    Resident Rights · Deficient, Provider has date of correction (Jun 19, 2022)

  19. DPotential for more than minimal harm, isolated

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

    Resident Rights · Deficient, Provider has date of correction (Jun 19, 2022)

  20. DPotential for more than minimal harm, isolated

    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.

    Resident Rights · Deficient, Provider has date of correction (Jun 19, 2022)

  21. DPotential for more than minimal harm, isolated

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

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 19, 2022)

  22. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 19, 2022)

  23. DPotential for more than minimal harm, isolated

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 19, 2022)

  24. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 19, 2022)

  25. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 19, 2022)

Showing the 30 most recent of 59.

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

CMS lists no fines or payment denials for this home in the past three years.

California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within California

Common questions

What is the CMS star rating for Boulder Creek Post Acute?

Boulder Creek Post Acute has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 5.

How many beds does Boulder Creek Post Acute have?

Boulder Creek Post Acute has 149 certified beds. It averages 142.1 residents per day, about 95.4% of its certified beds.

How much nursing care do residents get at Boulder Creek Post Acute?

The home reports 3.83 hours of nurse staffing per resident per day, including 0.51 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.

Has Boulder Creek Post Acute been fined?

CMS lists no fines for this home in the past three years.

Does Boulder Creek Post Acute accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

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Who to call in California

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Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 555206. See this home's official record on Medicare.gov

See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.