Short answer: Boulder Creek Post Acute in Poway holds Medicare's 4-star overall rating (health inspections 3, staffing 4, quality 5). Its latest inspection cycle lists 14 health citations (Feb 14, 2025 most recent). Medicare lists no fines in about three years. California's State file lists 8 citations (2 Class A, 2 Class B, 3 staffing), the latest in October 2022.
12696 Monte Vista Road, Poway · (858) 487-6242 · 149 certified beds · for profit - limited liability company. Owned by Chief Joseph Trail, LLC, run by Madison Creek Partners LLC.
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The latest inspection, citation by citation
| Date | What inspectors cited | Severity |
|---|---|---|
| Feb 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | E no actual harm, potential for more |
| Feb 14, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | E no actual harm, potential for more |
| Feb 14, 2025 | Dispose of garbage and refuse properly | E no actual harm, potential for more |
| Feb 14, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests | E no actual harm, potential for more |
| Feb 14, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights | D no actual harm, potential for more |
| Feb 14, 2025 | Notify 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 | D no actual harm, potential for more |
| Feb 14, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed | D no actual harm, potential for more |
| Feb 14, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | D no actual harm, potential for more |
| Feb 14, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed | D no actual harm, potential for more |
| Feb 14, 2025 | Provide safe and appropriate respiratory care for a resident when needed | D no actual harm, potential for more |
| Feb 14, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures | D no actual harm, potential for more |
| Feb 14, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | D no actual harm, potential for more |
| Feb 14, 2025 | Provide and implement an infection prevention and control program | D no actual harm, potential for more |
| Feb 14, 2025 | Put firmly secured handrails on each side of hallways | D no actual harm, potential for more |
CMS letters run A to L: A-C no harm with minimal potential, D-F no actual harm with potential for more, G-I actual harm, J-L immediate jeopardy. Fire-safety citations in the same cycle: 9. Source: CMS Care Compare health deficiencies (latest cycle).
Fines and payment denials
None in Medicare's penalty data (about three years).
A payment denial means Medicare stopped paying the home for new admissions for a stretch. Source: CMS Care Compare penalties.
The State's record
CDPH's enforcement file lists 8 citations for this home: 2 Class A, 2 Class B, 3 staffing, $90,900 final, the latest on Oct 11, 2022.
- Class AA: a Class A violation the State found was a direct cause of a resident's death (Health and Safety Code 1424).
- Class A: imminent danger, or a substantial probability, of death or serious harm to residents.
- Class B: a direct or immediate relationship to residents' health, safety or security, short of Class A.
- Staffing: an administrative penalty for falling below the State's minimum nursing hours per patient day (HSC 1276.5).
A home can appeal, and appeals can change the class or the amount. CDPH stopped updating this open file in mid-2024; newer ones are on Cal Health Find. Source: CDPH, Health Facilities State Enforcement Actions, matched by federal provider number.
The fix: check it yourself, then ask
- Medicare Care Compare: Boulder Creek Post Acute's page has the full inspection reports and staffing.
- Cal Health Find: search Boulder Creek Post Acute for State complaints and newer citations.
- On a tour: ask to see the home's most recent inspection report and its plan of correction (federal rules, 42 CFR 483.10(g)(11), let residents and families examine them), who covers nights and weekends, and how a fall or a change in condition gets reported to family.
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Every nursing home near Solana Beach, side by side: North County nursing home ratings.
Sources: CMS Care Compare provider data (provider information, health and fire-safety deficiencies, penalties, ownership); CDPH Health Facilities State Enforcement Actions. Checked November 6, 2026.
Using these numbers? Please cite and link the page: SideGuy, "Boulder Creek Post Acute: inspections, citations and fines," updated November 6, 2026, https://www.sideguysolutions.com/boulder-creek-post-acute-poway-nursing-home-inspections-citations.html
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Questions people ask
What is Boulder Creek Post Acute's Medicare star rating?
4 of 5 overall: health inspections 3, staffing 4, quality measures 5 (CMS Care Compare).
Has Boulder Creek Post Acute been cited by inspectors?
Boulder Creek Post Acute in Poway holds Medicare's 4-star overall rating (health inspections 3, staffing 4, quality 5). Its latest inspection cycle lists 14 health citations (Feb 14, 2025 most recent). Medicare lists no fines in about three years. California's State file lists 8 citations (2 Class A, 2 Class B, 3 staffing), the latest in October 2022.
Has Boulder Creek Post Acute been fined?
Medicare lists no fines in about three years. California's State file lists 8 citations.
Who owns Boulder Creek Post Acute?
CMS lists Chief Joseph Trail, LLC with 5% or more direct ownership, and Madison Creek Partners LLC with operational control.
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