| The Villas at Poway | |
| 15615 Pomerado Rd, Poway, California 92064 | |
| (858) 613-4545 | |
| Name | The Villas at Poway |
|---|---|
| Location | 15615 Pomerado Rd, Poway, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 129 |
| Occupancy Rate | 66.12% |
| Medicare ID (CCN) | 555301 |
| Legal Business Name | Palomar Health |
| Ownership Type | Government - Hospital District |
| NPI Number | 1619947090 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Palomar Health |
| Doing Business As | The Villas at Poway |
| Address | 15615 Pomerado Rd, Poway, CA 92064 |
| Phone Number | 858-613-4545 |
| NPI Number | 1851242374 |
| Match | Possible same name, address or phone number |
| Organization Name | Palomar UCSD Health Authority |
| Doing Business As | The Villas at Poway |
| Address | 15615 Pomerado Rd, Poway, CA 92064 |
| Phone Number | 858-613-4545 |
| 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 | 6.9 | 3.86 |
| Registered nurse (RN) hours per resident per day | 2.33 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.28 | 0.86 |
| Nurse aide hours per resident per day | 3.29 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 6.1 | 3.42 |
| RN hours per resident per day on the weekend | 1.82 | 0.48 |
| Physical therapist hours per resident per day | 0.2 | 0.07 |
| Total nursing staff turnover | 11.8% | 45.8% |
| Registered nurse turnover | 11.4% | 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 | 10 |
| Total Amount of Fines in Dollars | $57,124 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 10 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 22, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jun 13, 2025 |
| May 22, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 13, 2025 |
| May 22, 2025 | 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 13, 2025 |
| May 22, 2025 | Honor 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 22, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 22, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 22, 2025 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 22, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 22, 2025 | Ensure 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 22, 2025 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2025 |
| May 22, 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 Jun 13, 2025 |
| Oct 21, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Oct 29, 2024 |
| Oct 21, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 29, 2024 |
| Oct 21, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 29, 2024 |
| Feb 6, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 23, 2024 |
| Dec 28, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jan 16, 2024 |
| Sep 18, 2023 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Sep 30, 2023 |
| Mar 23, 2023 | Ensure 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 15, 2023 |
| Mar 23, 2023 | 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, widespread | Corrected by May 15, 2023 |
| Mar 23, 2023 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 15, 2023 |
| Mar 23, 2023 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, widespread | Corrected by May 15, 2023 |
| Mar 23, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, widespread | Corrected by May 15, 2023 |
| Mar 23, 2023 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2023 |
| Mar 23, 2023 | 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, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2023 |
| Mar 23, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2023 |
| Mar 23, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2023 |
| Mar 23, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2023 |
| Mar 23, 2023 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2023 |
| Mar 23, 2023 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2023 |
| Mar 23, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.49 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.46 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 5.93 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.06 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 10.37 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.66 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.68 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.79 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.92 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.93 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.86 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.57 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.11 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.96 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.07 | 15.38 |
Boulder Creek Post Acute Location: 12696 Monte Vista Road, Poway, California 92064 Phone: (858) 487-6242 |