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Boulder Creek Post Acute

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 the facility honors each resident's right to dignity, self-determination, communication, and the exercise of their rights.
  • Ensure that residents are permitted to administer their own medications if it is deemed clinically appropriate.
  • Honor each resident's right to safe, clean, comfortable, and homelike environs.
  • Ensure the updating of each resident's assessment at least once quarterly.
  • Provide each resident with an accurate assessment.
  • Ensure the development and implementation of comprehensive care plans that meet residents' needs.
  • Provide an environment free of accident hazards and with adequate supervision to prevent accidents.
  • Ensure that residents who display or are diagnosed with dementia receive appropriate treatment and services.
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 Rating information

Medicare assigns the overall star rating based on a nursing homes'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 Inspection information

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
Staffing information

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

Three Stars Average
RN Staffing Three Stars Average
Quality Measures information

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 Short 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

Boulder Creek Post Acute Cited Over Fall, Ulcer Care

Boulder Creek Post Acute, a nursing home based in Poway, California, received 50 citations for health and safety deficiencies in its most recent inspection, on October 28, 2018. According to Centers for Medicare and Medicaid Services records accessed on November 21, 2019, that figure numbers more than three times the statewide average of 12.9 citations, and more than six times the U.S. average of 8.2. A for-profit corporation owned by Madison Creek Partners, Leland Bruce, and Covey Christensen, Boulder Creek Post Acute is a Medicare and Medicaid participant with 149 certified beds and an average of 138.1 residents at the facility per day. The deficiencies described in the October 2018 citations include the following:

  1. The nursing home did not ensure it was free of accident hazards and had adequate supervision to prevent accidents. An inspector found that Boulder Creek Post Acute did not respond to a call light request by a resident who had experienced a fall and needed assistance walking to the restroom, and further that the facility did not "investigate the cause of residents' falls, did not initiate fall safety precautions, and/or did not implement specific resident specific interventions for 3 of 8 sampled residents with falls." As a result of these deficiencies, the citation notes one resident fell while walking to the bathroom and "fractured her wrist," while the other three were placed "at increased risk for additional falls." During an interview with the resident who fell, she said she used her call light to request staff assistance walking to the bathroom, and "waited for 40 minutes" before attempting to reach the bathroom herself. She fell, fractured her wrist, and "yelled and yelled, until someone finally came." She was then taken to a local hospital to be evaluated.
  2. The nursing home did not develop and implement a comprehensive care plan that meets all of a resident’s needs. This citation found that Boulder Creek Post Acute "failed to develop and implement individualized care plans, and to reconcile physician orders" in connection to seven residents. In one instance, the facility did not draw blood for a resident's tests; in another, staff did not elevate two residents' legs and heels in order to stave off swelling and to increase blood flow to their feet; in another, the facility failed to timely develop and maintain a written, individualized pressure ulcer care plan for a resident; in another, the facility did not develop a written care plan for a resident's sleep preferences; and in another, the facility did not provide "appropriate interventions" in connection to a resident's skin care. An inspector found that these deficiencies resulted in "the potential for delayed care and a decrease in residents' physical well-being.”
  3. The nursing home did not honor each resident's right to dignity, self-determination, communication, and the exercise of his or her rights. An inspector found that the facility failed to honor these rights in numerous instances. In one, residents described staff speaking languages other than English around them, which "made them feel uncomfortable" and left the residents wondering "if the staff were talking about them." An interview with the facility's staff revealed that the use of non-English languages in front of residents contravened facility policy requiring that "All employees shall speak English while in the presence of residents or when providing care to residents." In several other instances, an inspector observed a resident lying in their bed with their legs and/or breasts exposed to those outside the room, because its window blinds were raised in what a staffer stated "was a dignity issue" during an interview with the inspector.

More information on Boulder Creek Post Acute’s citations can be found here.

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