Poway Healthcare Center

Name: Poway Healthcare Center
Address: 15632 POMERADO ROAD, Poway, CA, 92064, US
Telephone: 8584855153

15632 Pomerado Road, Poway, CA 92064 · San Diego County · 99 certified beds · avg 96 residents/day · certified since Aug 14, 1981

Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.27

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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 (34)

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
Aug 28, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Aug 21, 2025	D · Potential for harm, one-off	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint
Aug 7, 2025	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. · from a complaint
May 8, 2025	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 8, 2025	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 8, 2025	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.
Apr 8, 2025	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. · from a complaint
Oct 16, 2024	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. · from a complaint
Sep 18, 2024	D · Potential for harm, one-off	The facility charged residents' personal funds for items or services that Medicare or Medicaid already pays for. Facilities may not bill residents for covered items. · from a complaint
Mar 19, 2024	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. · from a complaint
Feb 14, 2024	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. · from a complaint
Dec 15, 2023	D · Potential for harm, one-off	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint
Mar 17, 2022	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 17, 2022	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 17, 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.
Mar 17, 2022	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Mar 17, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 17, 2022	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.
Mar 17, 2022	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Mar 17, 2022	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 17, 2022	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Mar 17, 2022	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.
Apr 11, 2019	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.
Apr 11, 2019	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Apr 11, 2019	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Apr 11, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 11, 2019	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Apr 11, 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.
Apr 11, 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.
Apr 11, 2019	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.
Apr 11, 2019	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Apr 11, 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.
Apr 11, 2019	D · Potential for harm, one-off	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Apr 11, 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 3).

Year	Citations	Worst severity that year
2019	12	E
2022	10	E
2023	1	D
2024	4	D
2025	7	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)	3.27	4.31	3.95	bottom 4% in California; bottom 25% in the U.S.
Registered Nurse hours	0.50	0.61	0.69	top 47% in California; bottom 38% in the U.S.
Weekend total nurse staffing	3.03	3.90	3.50	bottom 4% in California; bottom 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.51	0.48	top 46% in California; top 49% in the U.S.
Total nursing staff turnover (%)	42.5	36.7	45.8	bottom 31% in California; top 43% in the U.S.
RN turnover (%)	43.8	38.1	42.9	bottom 37% in California; bottom 46% 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 3.97, RN 0.61, weekend 3.67. Staffing rating: 2/5.

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: 4/5 · 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
Bay Bridge Capital Partners, LLC	Organization	5% or Greater Indirect Ownership Interest	—	11/05/2021
Hudson River Opco LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/05/2021
Providence Group, INC.	Organization	5% or Greater Indirect Ownership Interest	—	11/05/2021
Apt, Frederick	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Jergensen, Joshua	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Mitchell, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Pepin, Austin	Individual	W-2 Managing Employee	NOT APPLICABLE	02/12/2024
Thaper, Mohinderpal	Individual	Contracted Managing Employee	NOT APPLICABLE	11/01/2023

Questions to ask on your visit

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

"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you keep residents' medical records accurate, complete, and secure?"
"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
The Villas at Poway	0.0 mi	Poway, CA	★★★★★	3/5
Boulder Creek Post Acute	0.6 mi	Poway, CA	★★★★☆	3/5
Carmel Mountain Rehabilitation & Healthcare Center	1.3 mi	San Diego, CA	★★★☆☆	2/5
Villa Rancho Bernardo Care Center	1.8 mi	San Diego, CA	★★★★★	4/5
Casa de Las Campanas	3.7 mi	San Diego, CA	★★☆☆☆	2/5
Ocean View Post Acute	7.0 mi	Escondido, CA	★★★★☆	3/5
Redwood Terrace Health Center	7.7 mi	Escondido, CA	★★★★★	5/5
Valley Vista Post Acute	8.2 mi	Escondido, CA	★★★★☆	3/5
Palomar Vista Healthcare Center	8.9 mi	Escondido, CA	★★☆☆☆	2/5
Palomar Heights Post Acute	9.1 mi	Escondido, CA	★★★☆☆	2/5
Escondido Post Acute	9.4 mi	Escondido, CA	★★★★★	4/5
Bayshire Torrey Pines Post-Acute	10.3 mi	San Diego, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Poway →

Facility data as of CMS processing date 2026-08-01. CCN 555136.

The Care File

Visit checklist — Poway Healthcare Center

15632 Pomerado Road, Poway, CA 92064 · 8584855153

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

Questions for the administrator:

☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "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 555136 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)