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12696 Monte Vista Road
Poway, CA 92064
(858) 487-6242

Data accessed November 20, 2019.

General Information

Boulder Creek Post Acute is a for-profit corporation owned by Madison Creek Partners, Leland Bruce, and Covey Christensen. A Medicare and Medicaid participant, this facility has 149 certified beds and is not located within a hospital or a Continuing Care Retirement Community.

Fines and Citations

As a result of the facility’s most recent health inspection on October 22, 2018, the facility received 50 citations for various failures, including to:

  • Ensure that residents were treated with dignity and respect in instances where staff spoke non-English languages in front of them while providing care, causing residents to feel uncomfortable.
  • Ensure the self-administration of medications as ordered for a resident.
  • Ensure the protection of residents’ confidential information in an instance in which a binder containing resident medication records was lost, violating residents’ right to privacy.
  • Ensure the maintenance of a resident’s bedroom in a clean and homelike manner.
  • Complete a quarterly assessment for a resident, resulting in the potential for services to be inaccurately implemented for that resident.
  • Draw blood on a resident for laboratory tests.
  • Elevate two residents’ legs and heels to prevent swelling and increase circulation to their feet.
  • Timely develop an individualized, written pressure ulcer care plan for one resident.
  • Provide appropriate interventions in connection to a resident’s skin care.
  • Provide adequate staffing to meet three residents’ needs, exposing those residents to “physical and potential psychosocial harm.”
  • Ensure the provision of person-centered care to two residents with dementia.

Fire and Safety Inspections

This facility has automatic sprinkler systems in all required areas. Its most recent fire and safety inspection was on December 11, 2018, and no fire safety citations were issued. The average number of safety citations in California is 1.6; in the U.S., 3.0.

Staffing

Number of Residents
The average number of residents per day at this facility is 138.1.
The California average is 86.4.
The national average is 85.7.

Number of Nurse Staff Hours Per Resident Per Day
The total number of licensed nurse staff hours per resident per day is 1 hour and 14 minutes.
The California average is 1 hour and 47 minutes.
The national average is 1 hour 34 minutes.

Number of RN Hours Per Resident Per Day
The number of RN hours per resident per day is 26 minutes.
The California average is 38 minutes.
The national average is 41 minutes.

LPN/LVN Hours Per Resident Per Day
The number of LPN/LVN hours per resident per day is 48 minutes.
The California average is 1 hour and 9 minutes.
The national average is 52 minutes.

Nurse Aide Hours Per Resident Per Day
The number of nurse aid hours per resident per day is 2 hours and 25 minutes.
The California average is 2 hours 33 minutes.
The national average is 2 hours 18 minutes.

Physical Therapist Staff Hours Per Resident Per Day
The number of Physical Therapist staff hours per resident per day is 7 minutes.
The California Average is 6 minutes.
The national average is 5 minutes.

1. Vital Statistics

Number of Beds: 149 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts:  Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2. Key Ratings

Star Rating Summary
Overall Ratinginformation

Medicare assigns the overall star rating based on a nursing home’s performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

One Star Much Below Average
Health Inspectioninformation

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

One Star Much Below Average
Staffinginformation

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

RN Staffing Three Stars Average
Quality Measuresinformation

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Four Stars Above Average

3. Key Key Long Stay Statistics

Description Boulder Creek Post Acute California Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
3.2% 6.2%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
3.5% Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
94.5% 87.9%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
97.3% 89.3%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
2.2% 1.4%

4. Key Long Stay Statistics

Description Boulder Creek Post Acute California Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
1.4% 1.8%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.1% 1.9%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
2.8% 3.3%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
5.2% 7.1%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
21.3% 42.7%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
2.8% 2.4%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.0% 0.5%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
9.8% 14.4%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
8.2% 9.6%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
2.4% 4.5%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
0.0% 0.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
12.0% 16.1%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
100.0% 96.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
97.8% 96.9%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
7.8% 11.0%

5. Inspection Summary

Date of standard health inspection: 10/22/2018
Total number of health deficiencies: 40
Average number of health deficiencies in California: 12.6