BOULDER CREEK POST ACUTE
NPI 1073902672
Skilled Nursing Facility in Poway, CA

Active since January 20, 2015
2/5
Overall Rating
12696 MONTE VISTA RD, POWAY, CA 92064(858) 487-6242(858) 487-4282 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Boulder Creek Post Acute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULDER CREEK POST ACUTE (NPI 1073902672) is a healthcare organization registered as a skilled nursing facility in Poway, California and active in the NPI registry since January 2015. The organization lists Leleand Bruce, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1073902672
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePOMERADO OPERATIONS, LLC
Location Address12696 MONTE VISTA RDPoway, CA 92064-2500
Mailing Address114 Pacifica, Suite 230Irvine, CA 92618 · (858) 487-6242 · Fax (858) 487-4282
Fax(858) 487-4282
Organization SubpartNo
Authorized OfficialLeleand BruceExecutive Vice President · (949) 220-2000
Enumeration DateJanuary 20, 2015
Last NPPES UpdateJanuary 3, 2017
NPI 1073902672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

12696 MONTE VISTA RD, Poway, CA 92064

Other Names 1

Doing Business AsBoulder Creek Post Acute

Other Identifiers 1

Medicare OSCAR/certification555206CA

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Boulder Creek Post Acute (CMS certification number 555206), from CMS Care Compare.

Boulder Creek Post Acute

Nursing home · Poway, CA
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number555206
Certified Beds149 beds141 residents per day on average
Medicare & Medicaid Participant SinceJuly 26, 1985
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
146.83
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.57 · LPN 0.76 · RN 0.47
3.81 hrs per resident per day
Weekend Nurse Staffing
3.59 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
35.5%
Registered Nurse Turnover
54.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
9
Infection-Control Citations
0
Fines
3 totaling $12,326.71
Medicare Payment Denials
0
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
12696 MONTE VISTA RD
POWAY, CA 92064
Physical Therapist
12696 MONTE VISTA RD
POWAY, CA 92064
Internal Medicine
12696 MONTE VISTA RD
POWAY, CA 92064
Skilled Nursing Facility
12696 MONTE VISTA RD
POWAY, CA 92064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pomerado Operations, LLC's NPI number?

The NPI number for Pomerado Operations, LLC is 1073902672. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as Boulder Creek Post Acute.

Where is Pomerado Operations, LLC located?

Pomerado Operations, LLC is located at 12696 Monte Vista Rd, Poway, CA 92064. The listed phone number is (858) 487-6242.

What is Pomerado Operations, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Pomerado Operations, LLC a Medicare-certified nursing home?

Yes. Boulder Creek Post Acute is a Medicare-certified nursing home with 149 certified beds.

What quality rating does Pomerado Operations, LLC have?

CMS rates Boulder Creek Post Acute 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Pomerado Operations, LLC was last updated on January 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.