| Boulder Creek Post Acute | |
| 12696 Monte Vista Road, Poway, California 92064 | |
| (858) 487-6242 | |
| Name | Boulder Creek Post Acute |
|---|---|
| Location | 12696 Monte Vista Road, Poway, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 149 |
| Occupancy Rate | 95.37% |
| Medicare ID (CCN) | 555206 |
| Legal Business Name | Pomerado Operations LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Madison Creek Partners (13 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1073902672 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pomerado Operations, LLC |
| Doing Business As | Boulder Creek Post Acute |
| Address | 12696 Monte Vista Rd, Poway, CA 92064 |
| Phone Number | 858-487-6242 |
| NPI Number | 1760689731 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pomerado Inc |
| Address | 12696 Monte Vista Rd, Poway, CA 92064 |
| Phone Number | 858-487-6242 |
| NPI Number | 1982675328 |
| Match | Possible same name, address or phone number |
| Organization Name | Braswells Villa Monte Vista LP |
| Address | 12696 Monte Vista Rd, Poway, CA 92064 |
| Phone Number | 858-487-6242 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.83 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.51 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.77 | 0.86 |
| Nurse aide hours per resident per day | 2.55 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.65 | 3.42 |
| RN hours per resident per day on the weekend | 0.41 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 26.4% | 45.8% |
| Registered nurse turnover | 14.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 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. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 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. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Feb 14, 2025 | Put firmly secured handrails on each side of hallways. F0924, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Mar 14, 2025 |
| Jan 13, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 27, 2025 |
| Jul 9, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Jul 9, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Aug 12, 2024 |
| Dec 14, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 21, 2023 |
| May 20, 2022 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Jun 19, 2022 |
| May 20, 2022 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2022 |
| 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2022 |
| May 20, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2022 |
| May 20, 2022 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| May 20, 2022 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| May 20, 2022 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| May 20, 2022 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| May 20, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| May 20, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| May 20, 2022 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.99 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.27 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.41 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5.06 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.53 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.64 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.89 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.33 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.24 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 18.37 | 15.38 |