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Skilled nursing facility · CMS certification number 555206

BOULDER CREEK POST ACUTE

POWAY, California · Medicare and Medicaid · 149 certified beds in Care Compare

Download BOULDER CREEK POST ACUTE’s record (CSV, each figure with its worksheet, line and column)

BOULDER CREEK POST ACUTE: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 6, 2025.
  • Net patient revenue rose from $21.0M in fiscal year 2023 to $25.4M in fiscal year 2024.
  • Its result from service to patients: −$393K (2022), $1.6M (2023), $3.7M (2024).
  • Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
  • Its net patient revenue of $25.4M ranks 118th of the 951 nursing facilities in California whose latest cost report on file is fiscal year 2024.
  • All 5 nursing facilities in California closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

BOULDER CREEK POST ACUTE: Medicare cost reports

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14291062023 · report 14322952022 · report 13948562021 · report 13692732020 · report 13433142019 · report 12741772018 · report 12425492017 · report 12486952016 · report 12170462015 · report 11430092014 · report 11064672013 · report 10694742012 · report 10466262011 · report 1023645
Period beganJanuary 1, 2024January 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 20, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Report statusas submittedsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettled
Processed by CMSJune 6, 2025June 20, 2025September 13, 2024December 1, 2023February 27, 2023November 20, 2020August 27, 2019December 26, 2019December 26, 2018September 30, 2016August 1, 2015June 28, 2014August 16, 2013January 24, 2013
Total patient revenue$32,447,204$25,729,399$20,248,768$20,443,021$21,688,200$16,856,306$15,969,704$14,155,555$15,189,003$13,774,129$11,550,031$11,946,261$11,629,002$10,792,942
Contractual allowances and discounts$7,009,746$4,709,393$3,435,852$2,064,762$3,163,676$4,118,959$3,338,180$2,451,390$2,974,593$2,677,063$2,273,598$2,644,716$2,632,715$1,898,736
Net patient revenue$25,437,458$21,020,006$16,812,916$18,378,259$18,524,524$12,737,347$12,631,524$11,704,165$12,214,410$11,097,066$9,276,433$9,301,545$8,996,287$8,894,206
Total operating expenses$21,754,577$19,425,459$17,205,836$16,564,745$17,827,702$13,607,570$13,415,475$12,308,973$11,968,134$11,286,875$9,964,483$9,679,633$9,595,448$9,493,720
Net income from service to patients$3,682,881$1,594,547−$392,920$1,813,514$696,822−$870,223−$783,951−$604,808$246,276−$189,809−$688,050−$378,088−$599,161−$599,514
Total other income$233,918$270,633$1,684,412$221,977$320,858$13,300$440,703$7,321$497,944$18,531$243,482$246,246$185,249$643,946
Net income after other income$3,916,799$1,865,180$1,291,492$2,035,491$1,017,680−$856,923−$343,248−$597,487$744,220−$171,278−$444,568−$131,842−$413,912$44,432
Net income$3,916,799$1,752,825$1,291,492$2,035,491$1,017,680−$856,923−$343,248−$597,487$744,220−$171,278−$444,568−$131,843−$413,912$44,431
Total facility beds, all components149149149149149149149149149149149149149149
Bed days available, all components54,534—————————————
Medicare (Title XVIII) patient days2,408—————————————
Medicaid (Title XIX) patient days3,062—————————————
Other-payer patient days46,259—————————————
Total patient days, all components51,72947,96447,83146,35052,27951,73750,82949,77949,59450,86151,41850,53049,93748,706
Medicare discharges19—————————————
Medicaid discharges116—————————————
Other-payer discharges133—————————————
Total discharges, all components268302370117481365102260314397336388453460
Average length of stay, Medicare, in days126.7493.1380.8673.7480.5555.8160.2645.1442.4777.2437.9143.7540.0932.54
Average length of stay, Medicaid, in days26.4347.45140.68—164.18173.8413,730451.16451.16163.35282.43302.42290.92351.15
Average length of stay, all patients, in days193.02158.82129.27396.15108.69141.75498.32191.46157.94128.11153.03130.23110.24105.88

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Form CMS-2540-96: each report covers January 1 to December 31 of its year.

Cost reports on form CMS-2540-96, fiscal years 1997 to 2010
Form CMS-2540-962010 · report 4157112009 · report 3856692008 · report 3565102007 · report 3246892006 · report 2925472005 · report 2637232004 · report 2299872003 · report 2173752002 · report 2004742001 · report 1754722000 · report 976371999 · report 976361998 · report 976341997 · report 97632
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettled
Processed by CMSAugust 17, 2011August 13, 2010September 11, 2009August 21, 2008August 22, 2007September 21, 2006August 4, 2005May 19, 2005November 23, 2004May 5, 2004January 9, 2002July 30, 2000April 14, 2000March 11, 1999
Net patient revenue$8,298,910$9,034,065$8,932,322$9,017,106$8,765,484$7,363,964$7,288,472$6,692,923$6,485,744$6,284,915$5,865,276$5,547,074$5,156,031$4,696,625
Total operating expenses$9,456,568$9,644,060$8,561,971$8,871,314$8,605,642$8,409,188$7,786,821$7,388,260$7,141,524$7,095,742$6,525,724$5,981,734$5,743,352$5,091,135
Net income from service to patients−$1,157,658−$609,995$370,351$145,792$159,842−$1,045,224−$498,349−$695,337−$655,780−$810,827−$660,448−$434,660−$587,321−$394,510
Total other income$24,570$508,734$255,936$85,193$17,754$298,276$23,476$91,752$142,803$104,452$30,830$52,579$57,485$36,852
Total other expenses$4$284,878$398,724$370,217$1,869$800$10,569———————
Net income−$1,133,092−$386,139$227,563−$139,232$175,727−$747,748−$485,442−$603,585−$512,977−$706,375−$629,618−$382,081−$529,836−$357,658
Total facility beds, all components149149149149149149145145149145145145145145
Total patient days, all components45,81548,52746,42745,90046,41844,68446,20244,81548,30150,84847,76749,66546,36546,878
Total discharges, all components437476434466475514612495349246369372357310
Average length of stay, Medicare, in days31.1622.6823.5933.2942.1223.4817.5416.4417.3823.121.0918.6423.5340.25
Average length of stay, Medicaid, in days345.71340.9632.87326.24323.76706.1485.53470.68766.98823.24207.89215.19322.53442.63
Average length of stay, all patients, in days104.84101.95106.9798.597.7286.9375.4990.54138.4206.7129.45133.51129.87151.22

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.

BOULDER CREEK POST ACUTE: nurse staffing hours by quarter →

Who owns BOULDER CREEK POST ACUTE, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: CHIEF JOSEPH TRAIL, LLC (organization), 100%%, since 03/02/2026
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: CLEGG, MICHAEL (individual), NO PERCENTAGE PROVIDED, since 03/02/2026; TIPPET, LLC (organization), NO PERCENTAGE PROVIDED, since 03/02/2026; WHITE CANYON, LLC (organization), NO PERCENTAGE PROVIDED, since 03/02/2026
  • ADP OF THE SNF: CHANG, ALAN (individual), NOT APPLICABLE, since 02/01/2004; CHRISTENSEN, COVEY (individual), NOT APPLICABLE, since 01/20/2015; CLEGG, MICHAEL (individual), NOT APPLICABLE, since 06/26/2023; HOPKINS, AMBER (individual), NOT APPLICABLE, since 12/01/2021; IKERD, JOHN (individual), NOT APPLICABLE, since 04/25/2022; MADISON CREEK PARTNERS LLC (organization), NOT APPLICABLE, since 03/28/2026; MASON, TIMOTHY (individual), NOT APPLICABLE, since 09/01/2022
  • MANAGING CONTROL - GOVERNING BODY: CLEGG, MICHAEL (individual), NOT APPLICABLE, since 06/26/2023; IKERD, JOHN (individual), NOT APPLICABLE, since 03/02/2026
  • OPERATIONAL/MANAGERIAL CONTROL: CHANG, ALAN (individual), NOT APPLICABLE, since 02/01/2004; CHRISTENSEN, COVEY (individual), NOT APPLICABLE, since 01/20/2015; CLEGG, MICHAEL (individual), NOT APPLICABLE, since 06/26/2023; HOPKINS, AMBER (individual), NOT APPLICABLE, since 12/01/2021; IKERD, JOHN (individual), NOT APPLICABLE, since 04/25/2022; MADISON CREEK PARTNERS LLC (organization), NOT APPLICABLE, since 01/20/2015; MASON, TIMOTHY (individual), NOT APPLICABLE, since 09/01/2022

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of POMERADO OPERATIONS LLC (enrollment ID O20150217001442).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: CHIEF JOSEPH TRAIL, LLC (organization), 100.00%, since 03/02/2026
  • 5% OR GREATER INDIRECT OWNERSHIP INTEREST: COVEY C CHRISTENSEN (individual), 82.50%, since 03/02/2026; MICHAEL JOSEPH CLEGG (individual), 17.50%, since 03/02/2026; TIPPET, LLC (organization), 82.50%, since 03/02/2026; WHITE CANYON, LLC (organization), 17.50%, since 03/02/2026
  • ADP OF THE SNF: ALAN THOMAS CHANG (individual), since 02/01/2004; AMBER M HOPKINS (individual), since 12/01/2021; COVEY C CHRISTENSEN (individual), since 01/20/2015; JOHN P. IKERD (individual), since 04/25/2022; MADISON CREEK PARTNERS LLC (organization), since 03/28/2026; MICHAEL JOSEPH CLEGG (individual), since 06/26/2023; TIMOTHY MASON (individual), since 09/01/2022; No owner named in the filing (organization), since 01/20/2015
  • MANAGING CONTROL - GOVERNING BODY: JOHN P. IKERD (individual), since 03/02/2026; MICHAEL JOSEPH CLEGG (individual), since 06/26/2023
  • OPERATIONAL/MANAGERIAL CONTROL: ALAN THOMAS CHANG (individual), since 02/01/2004; AMBER M HOPKINS (individual), since 12/01/2021; COVEY C CHRISTENSEN (individual), since 01/20/2015; JOHN P. IKERD (individual), since 04/25/2022; MADISON CREEK PARTNERS LLC (organization), since 01/20/2015; MICHAEL JOSEPH CLEGG (individual), since 06/26/2023; TIMOTHY MASON (individual), since 09/01/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: CHIEF JOSEPH TRAIL, LLC; TIPPET, LLC; WHITE CANYON, LLC; MADISON CREEK PARTNERS LLC; No owner named in the filing; MADISON CREEK PARTNERS LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: COVEY C CHRISTENSEN; MICHAEL JOSEPH CLEGG; ALAN THOMAS CHANG; AMBER M HOPKINS; COVEY C CHRISTENSEN; JOHN P. IKERD; MICHAEL JOSEPH CLEGG; TIMOTHY MASON; JOHN P. IKERD; MICHAEL JOSEPH CLEGG; ALAN THOMAS CHANG; AMBER M HOPKINS; COVEY C CHRISTENSEN; JOHN P. IKERD; MICHAEL JOSEPH CLEGG; TIMOTHY MASON.

Changes in ownership

  • July 1, 2026, enrollment ownership file; no longer listed: MADISON CREEK PARTNERS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); COVEY C CHRISTENSEN (W-2 MANAGING EMPLOYEE); COVEY C CHRISTENSEN (CORPORATE OFFICER); first listed: TIPPET, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since March 2, 2026; a listing under ADP OF THE SNF with no owner named, associated since January 20, 2015; MICHAEL JOSEPH CLEGG (ADP OF THE SNF), associated since June 26, 2023; MICHAEL JOSEPH CLEGG (MANAGING CONTROL - GOVERNING BODY), associated since June 26, 2023; MICHAEL JOSEPH CLEGG (OPERATIONAL/MANAGERIAL CONTROL), associated since June 26, 2023; MICHAEL JOSEPH CLEGG (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since March 2, 2026; AMBER M HOPKINS (ADP OF THE SNF), associated since December 1, 2021; AMBER M HOPKINS (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2021; TIMOTHY MASON (ADP OF THE SNF), associated since September 1, 2022; TIMOTHY MASON (OPERATIONAL/MANAGERIAL CONTROL), associated since September 1, 2022; ALAN THOMAS CHANG (ADP OF THE SNF), associated since February 1, 2004; ALAN THOMAS CHANG (OPERATIONAL/MANAGERIAL CONTROL), associated since February 1, 2004; CHIEF JOSEPH TRAIL, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since March 2, 2026; JOHN P. IKERD (ADP OF THE SNF), associated since April 25, 2022; JOHN P. IKERD (MANAGING CONTROL - GOVERNING BODY), associated since March 2, 2026; JOHN P. IKERD (OPERATIONAL/MANAGERIAL CONTROL), associated since April 25, 2022; COVEY C CHRISTENSEN (ADP OF THE SNF), associated since January 20, 2015; COVEY C CHRISTENSEN (OPERATIONAL/MANAGERIAL CONTROL), associated since January 20, 2015; MADISON CREEK PARTNERS LLC (ADP OF THE SNF), associated since March 28, 2026; MADISON CREEK PARTNERS LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since January 20, 2015; WHITE CANYON, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since March 2, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Inspections of BOULDER CREEK POST ACUTE

  • Cycle 1: health February 14, 2025 (14 deficiencies), fire safety February 14, 2025 (9)
  • Cycle 2: health May 20, 2022 (21 deficiencies), fire safety May 20, 2022 (18)
  • Cycle 3: health October 31, 2019 (24 deficiencies), fire safety October 31, 2019 (9)

Deficiencies cited at BOULDER CREEK POST ACUTE

59 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0623, resident rights: February 14, 2025 (D, corrected March 14, 2025).
  • F 0625, resident rights: February 14, 2025 (D, corrected March 14, 2025).
  • F 0644, resident assessment and care planning: February 14, 2025 (D, corrected March 14, 2025).
  • F 0656, resident assessment and care planning: February 14, 2025 (D, corrected March 14, 2025); May 20, 2022 (D, corrected June 19, 2022); October 31, 2019 (E, corrected November 30, 2019).
  • F 0689, quality of life and care: February 14, 2025 (E, corrected March 14, 2025); December 14, 2023 (D, from a complaint, corrected December 21, 2023); October 31, 2019 (D, corrected November 30, 2019).
  • F 0694, quality of life and care: February 14, 2025 (D, corrected March 14, 2025); May 20, 2022 (D, corrected June 19, 2022).
  • F 0695, quality of life and care: February 14, 2025 (D, corrected March 14, 2025); October 31, 2019 (D, corrected November 30, 2019).
  • F 0756, pharmacy service: February 14, 2025 (D, corrected March 14, 2025).
  • F 0812, nutrition and dietary: February 14, 2025 (E, corrected March 14, 2025); October 31, 2019 (D, corrected November 30, 2019).
  • F 0814, nutrition and dietary: February 14, 2025 (E, corrected March 14, 2025).
  • F 0842, resident assessment and care planning: February 14, 2025 (D, corrected March 14, 2025); October 31, 2019 (D, corrected November 30, 2019).
  • F 0880, infection control: February 14, 2025 (D, corrected March 14, 2025); July 9, 2024 (D, from a complaint, corrected August 12, 2024); May 20, 2022 (E, corrected June 19, 2022); October 31, 2019 (D, corrected November 30, 2019).
  • F 0924, environmental: February 14, 2025 (D, corrected March 14, 2025).
  • F 0925, environmental: February 14, 2025 (E, corrected March 14, 2025).
  • F 0554, resident rights: January 13, 2025 (D, from a complaint, corrected January 27, 2025).
  • F 0655, resident assessment and care planning: July 9, 2024 (D, from a complaint, corrected August 12, 2024).
  • F 0550, resident rights: May 20, 2022 (D, corrected June 19, 2022); October 31, 2019 (D, corrected November 30, 2019).
  • F 0552, resident rights: May 20, 2022 (D, corrected June 19, 2022).
  • F 0565, resident rights: May 20, 2022 (E, corrected June 19, 2022).
  • F 0584, resident rights: May 20, 2022 (D, corrected June 19, 2022).
  • F 0585, resident rights: May 20, 2022 (E, corrected June 19, 2022).
  • F 0604, freedom from abuse, neglect, and exploitation: May 20, 2022 (D, corrected June 19, 2022).
  • F 0636, resident assessment and care planning: May 20, 2022 (D, corrected June 19, 2022).
  • F 0641, resident assessment and care planning: May 20, 2022 (D, corrected June 19, 2022).
  • F 0658, resident assessment and care planning: May 20, 2022 (D, corrected June 19, 2022).
  • F 0675, quality of life and care: May 20, 2022 (D, corrected June 19, 2022).
  • F 0676, quality of life and care: May 20, 2022 (D, corrected June 19, 2022); October 31, 2019 (D, corrected November 30, 2019).
  • F 0732, nursing and physician services: May 20, 2022 (D, corrected June 19, 2022).
  • F 0803, nutrition and dietary: May 20, 2022 (D, corrected June 19, 2022); October 31, 2019 (E, corrected November 30, 2019).
  • F 0804, nutrition and dietary: May 20, 2022 (D, corrected June 19, 2022); October 31, 2019 (E, corrected November 30, 2019).
  • F 0908, environmental: May 20, 2022 (D, corrected June 19, 2022).
  • F 0919, environmental: May 20, 2022 (F, corrected June 19, 2022).
  • F 0921, environmental: May 20, 2022 (D, corrected June 19, 2022).
  • F 0578, resident rights: October 31, 2019 (D, corrected November 30, 2019).
  • F 0685, quality of life and care: October 31, 2019 (D, corrected November 30, 2019).
  • F 0688, quality of life and care: October 31, 2019 (D, corrected November 30, 2019).
  • F 0690, quality of life and care: October 31, 2019 (D, corrected November 30, 2019).
  • F 0692, quality of life and care: October 31, 2019 (D, corrected November 30, 2019).
  • F 0697, quality of life and care: October 31, 2019 (D, corrected November 30, 2019).
  • F 0755, pharmacy service: October 31, 2019 (D, corrected November 30, 2019).
  • F 0758, pharmacy service: October 31, 2019 (D, corrected November 30, 2019).
  • F 0761, pharmacy service: October 31, 2019 (D, corrected November 30, 2019).
  • F 0790, quality of life and care: October 31, 2019 (D, corrected November 30, 2019).
  • F 0839, administration: October 31, 2019 (D, corrected November 30, 2019).

BOULDER CREEK POST ACUTE in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: POMERADO OPERATIONS LLC
  • Date First Approved to Provide Medicare and Medicaid Services: 1985-07-26
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: San Diego
  • Telephone Number: 8584876242
  • Chain Name: MADISON CREEK PARTNERS
  • Chain ID: 328
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 136.7
  • Overall Rating: 4
  • Health Inspection Rating: 3
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for BOULDER CREEK POST ACUTE: no penalty in Care Compare.

Other nursing facilities in POWAY and California

Report a figure on BOULDER CREEK POST ACUTE’s record that differs from its CMS file, quoting 555206.