Boulder Creek Post Acute

Name: Boulder Creek Post Acute
Address: 12696 MONTE VISTA ROAD, Poway, CA, 92064, US
Telephone: 8584876242

12696 Monte Vista Road, Poway, CA 92064 · San Diego County · 149 certified beds · avg 142 residents/day · certified since Jul 26, 1985

Part of chain: MADISON CREEK PARTNERS (13 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.21

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (59)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 14, 2025	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 14, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 14, 2025	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Feb 14, 2025	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 14, 2025	D · Potential for harm, one-off	The facility did not have firmly secured handrails on both sides of its hallways.
Jan 13, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Jul 9, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Jul 9, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 14, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 20, 2022	F · Potential for harm, facility-wide	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
May 20, 2022	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
May 20, 2022	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
May 20, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 20, 2022	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 20, 2022	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 20, 2022	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 20, 2022	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
May 20, 2022	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
May 20, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 20, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 20, 2022	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 20, 2022	D · Potential for harm, one-off	The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care.
May 20, 2022	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
May 20, 2022	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
May 20, 2022	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
May 20, 2022	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 20, 2022	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 20, 2022	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
May 20, 2022	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 31, 2019	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 31, 2019	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Oct 31, 2019	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 31, 2019	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 31, 2019	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 31, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (20 → 14).

Year	Citations	Worst severity that year
2019	21	E
2022	20	F
2023	1	D
2024	2	D
2025	15	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.21	4.31	3.95	top 44% in California; top 32% in the U.S.
Registered Nurse hours	0.56	0.61	0.69	top 37% in California; bottom 47% in the U.S.
Weekend total nurse staffing	4.02	3.90	3.50	top 32% in California; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.51	0.48	top 43% in California; top 46% in the U.S.
Total nursing staff turnover (%)	26.4	36.7	45.8	top 20% in California; top 9% in the U.S.
RN turnover (%)	14.3	38.1	42.9	top 10% in California; top 7% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.83, RN 0.51, weekend 3.65. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Chief Joseph Trail, LLC	Organization	5% or Greater Direct Ownership Interest	100%	03/02/2026
Clegg, Michael	Individual	5% or Greater Indirect Ownership Interest	—	03/02/2026
Tippet, LLC	Organization	5% or Greater Indirect Ownership Interest	—	03/02/2026
White Canyon, LLC	Organization	5% or Greater Indirect Ownership Interest	—	03/02/2026
Chang, Alan	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2004
Chang, Alan	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2004
Christensen, Covey	Individual	Operational/Managerial Control	NOT APPLICABLE	01/20/2015
Christensen, Covey	Individual	ADP of the SNF	NOT APPLICABLE	01/20/2015
Clegg, Michael	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/26/2023
Clegg, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	06/26/2023
Clegg, Michael	Individual	ADP of the SNF	NOT APPLICABLE	06/26/2023
Hopkins, Amber	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Hopkins, Amber	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2021
Ikerd, John	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/02/2026
Ikerd, John	Individual	Operational/Managerial Control	NOT APPLICABLE	04/25/2022
Ikerd, John	Individual	ADP of the SNF	NOT APPLICABLE	04/25/2022
Madison Creek Partners LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/20/2015
Madison Creek Partners LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/28/2026
Mason, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Mason, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"How is pest control handled here, and when was the last treatment or inspection?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Poway Healthcare Center	0.6 mi	Poway, CA	★★★★☆	4/5
The Villas at Poway	0.6 mi	Poway, CA	★★★★★	3/5
Carmel Mountain Rehabilitation & Healthcare Center	1.8 mi	San Diego, CA	★★★☆☆	2/5
Villa Rancho Bernardo Care Center	2.4 mi	San Diego, CA	★★★★★	4/5
Casa de Las Campanas	4.0 mi	San Diego, CA	★★☆☆☆	2/5
Ocean View Post Acute	7.3 mi	Escondido, CA	★★★★☆	3/5
Redwood Terrace Health Center	7.9 mi	Escondido, CA	★★★★★	5/5
Valley Vista Post Acute	8.5 mi	Escondido, CA	★★★★☆	3/5
Palomar Vista Healthcare Center	9.2 mi	Escondido, CA	★★☆☆☆	2/5
Palomar Heights Post Acute	9.3 mi	Escondido, CA	★★★☆☆	2/5
Escondido Post Acute	9.6 mi	Escondido, CA	★★★★★	4/5
Edgemoor Hospital	10.6 mi	Santee, CA	★★★★☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Poway →

Facility data as of CMS processing date 2026-08-01. CCN 555206.

The Care File

Visit checklist — Boulder Creek Post Acute

12696 Monte Vista Road, Poway, CA 92064 · 8584876242

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555206 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)