Starfile / California

BOULDER CREEK POST ACUTE

12696 MONTE VISTA ROAD, POWAY, CA 92064 · CCN 555206

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

MADISON CREEK PARTNERS

Facilities in chain

12

Chain avg overall

3.20 / 5

Inspection citations (60)

1. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

2. DF0625Notify 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.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

3. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

5. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

6. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

8. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

9. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-14 · Health · corrected 2025-03-14

   Potential for more than minimal harm

10. EF0814Dispose of garbage and refuse properly.2025-02-14 · Health · corrected 2025-03-14

    Potential for more than minimal harm

11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-14 · Health · corrected 2025-03-14

    Potential for more than minimal harm

12. DF0880Provide and implement an infection prevention and control program.2025-02-14 · Health · corrected 2025-03-14

    Potential for more than minimal harm

13. DF0924Put firmly secured handrails on each side of hallways.2025-02-14 · Health · corrected 2025-03-14

    Potential for more than minimal harm

14. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-02-14 · Health · corrected 2025-03-14

    Potential for more than minimal harm

15. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-01-13 · Health · corrected 2025-01-27

    Potential for more than minimal harm

16. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-07-09 · Health · corrected 2024-08-12

    Potential for more than minimal harm

17. DF0880Provide and implement an infection prevention and control program.2024-07-09 · Health · corrected 2024-08-12

    Potential for more than minimal harm

18. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-14 · Health · corrected 2023-12-21

    Potential for more than minimal harm

19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-27 · Health · corrected 2023-04-20

    Potential for more than minimal harm

20. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

21. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

22. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

23. DF0584Honor 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.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

24. EF0585Honor 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.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

25. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

26. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

27. DF0641Ensure each resident receives an accurate assessment.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

29. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

30. DF0675Honor each resident's preferences, choices, values and beliefs.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

31. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

32. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

33. DF0732Post nurse staffing information every day.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

34. DF0803Ensure 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.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

35. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

36. EF0880Provide and implement an infection prevention and control program.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

37. DF0908Keep all essential equipment working safely.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

38. FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

39. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-05-20 · Health · corrected 2022-06-19

    Potential for more than minimal harm

40. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

41. DF0578Honor 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.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

42. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

43. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

44. DF0685Assist a resident in gaining access to vision and hearing services.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

45. DF0688Provide 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.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

46. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

47. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

48. DF0692Provide enough food/fluids to maintain a resident's health.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

49. DF0695Provide safe and appropriate respiratory care for a resident when needed.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

50. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

51. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

52. DF0758Implement 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.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

53. DF0761Ensure 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.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

54. DF0790Provide routine and 24-hour emergency dental care for each resident.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

55. EF0803Ensure 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.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

56. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

57. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

58. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

59. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

60. DF0880Provide and implement an infection prevention and control program.2019-10-31 · Health · corrected 2019-11-30

    Potential for more than minimal harm

Ownership

Other facilities in POWAY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.