POWAY HEALTHCARE CENTER
15632 POMERADO ROAD, POWAY, CA 92064 · CCN 555136
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 96.8
- Phone
- 8584855153
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-08 | 7 | 15.6 | 9.5 | -8.6 better |
| 2 | 2022-03-17 | 13 | 17.4 | 9.8 | -4.4 better |
| 3 | 2019-04-11 | 21 | 17.1 | 9.3 | +3.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.18 | 50.5% |
| RN staffing (reported) | 0.62 | 53.3% |
| Total nurse staffing (adjusted) | 3.57 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- PACS GROUP
- Facilities in chain
- 264
- Chain avg overall
- 2.90 / 5
Inspection citations (41)
- DF0610Respond appropriately to all alleged violations.2025-08-28 · Health · corrected 2025-09-09
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2025-08-21 · Health · corrected 2025-09-12
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-07 · Health · corrected 2025-09-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-05-08 · Health · corrected 2025-06-06
Potential for more than minimal harm
- EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-05-08 · Health · corrected 2025-06-06
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-05-08 · Health · corrected 2025-06-06
Potential for more than minimal harm
- 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.2025-04-08 · Health · corrected 2025-05-05
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-16 · Health · corrected 2024-10-31
Potential for more than minimal harm
- DF0571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.2024-09-18 · Health · corrected 2024-10-11
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-19 · Health · corrected 2024-03-31
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-14 · Health · corrected 2024-03-14
Potential for more than minimal harm
- DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-12-15 · Health · corrected 2024-01-09
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-31 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-30 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-05-03 · Health · corrected 2023-05-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-14 · Health · corrected 2023-04-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-14 · Health · corrected 2023-04-28
Potential for more than minimal harm
- 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.2023-03-29 · Health · corrected 2023-04-13
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-29 · Health · corrected 2023-04-13
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-03-17 · Health · corrected 2022-04-17
Potential for more than minimal harm
- DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- 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.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- 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.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2019-04-11 · Health · corrected 2019-05-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HUDSON RIVER OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-11-05 |
| BAY BRIDGE CAPITAL PARTNERS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-11-05 |
| PACS GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PACS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 |
| PROVIDENCE GROUP, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-11-05 |
| HANCOCK, MARK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| MURRAY, JASON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-04-15 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| THAPER, MOHINDERPAL | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-11-01 |
| PEPIN, AUSTIN | Individual | W-2 MANAGING EMPLOYEE | — | 2024-02-12 |
Other facilities in POWAY
| Name | Overall | Beds |
|---|---|---|
| THE VILLAS AT POWAY | ★★★★★ | 129 |
| BOULDER CREEK POST ACUTE | ★★★★☆ | 149 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.