Poway Healthcare Center · Poplar Holdings LLC

8584855153 · 15632 Pomerado Road, Poway, CA 92064

Overview

Poway Healthcare Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #555136. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 15632 Pomerado Road, Poway, CA 92064. The overall rating is 5.

Federal Provider Number 555136
Provider Name POWAY HEALTHCARE CENTER
Legal Business Name POPLAR HOLDINGS LLC
Address 15632 Pomerado Road
Poway
CA 92064
County San Diego
Telephone 8584855153
Ownership Type For profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1981-08-14
Number of Certified Beds 99
Average Number of Residents per Day 85.3
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago Y
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 3
Quality Measure Rating 5
Long Stay Quality Measure Rating 5
Short Stay Quality Measure Rating 5
Staffing Rating 4
Registered Nurses Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.72418
Reported LPN Staffing Hours per Resident per Day 1.21329
Reported RN Staffing Hours per Resident per Day 0.50256
Reported Licensed Staffing Hours per Resident per Day 1.71585
Reported Total Nurse Staffing Hours per Resident per Day 4.44003
Reported Physical Therapist Staffing Hours per Resident Per Day 0.12809
Expected CNA Staffing Hours per Resident per Day 2.08803
Expected LPN Staffing Hours per Resident per Day 0.71195
Expected RN Staffing Hours per Resident per Day 0.34520
Expected Total Nurse Staffing Hours per Resident per Day 3.14518
Adjusted CNA Staffing Hours per Resident per Day 2.68604
Adjusted LPN Staffing Hours per Resident per Day 1.26264
Adjusted RN Staffing Hours per Resident per Day 0.58263
Adjusted Total Nurse Staffing Hours per Resident per Day 4.51728
Rating Cycle 1 Standard Survey Health Date 2019-04-11
Rating Cycle 1 Total Number of Health Deficiencies 14
Rating Cycle 1 Number of Standard Health Deficiencies 12
Rating Cycle 1 Number of Complavarchar Health Deficiencies 1
Rating Cycle 1 Health Deficiency Score 72
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 72
Rating Cycle 2 Standard Health Survey Date 2018-04-19
Rating Cycle 2 Total Number of Health Deficiencies 7
Rating Cycle 2 Number of Standard Health Deficiencies 2
Rating Cycle 2 Number of Complavarchar Health Deficiencies 5
Rating Cycle 2 Health Deficiency Score 64
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 64
Rating Cycle 3 Standard Health Survey Date 2017-01-26
Rating Cycle 3 Total Number of Health Deficiencies 4
Rating Cycle 3 Number of Standard Health Deficiencies 3
Rating Cycle 3 Number of Complavarchar Health Deficiencies 1
Rating Cycle 3 Health Deficiency Score 16
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 60.000
Number of Facility Reported Incidents 3
Number of Substantiated Complavarchars 1
Number of Citations from Infection Control Inspections 1
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
POWAY HEALTHCARE CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTHUDSON RIVER OPCO LLCOrganization100%since 12/20/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTALLPRO, INC.OrganizationNO PERCENTAGE PROVIDEDsince 07/27/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTAUBURN MANOR HOLDING CORPORATIONOrganizationNO PERCENTAGE PROVIDEDsince 07/27/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTBAY BRIDGE CAPITAL INCOrganizationNO PERCENTAGE PROVIDEDsince 08/15/2014
5% OR GREATER INDIRECT OWNERSHIP INTERESTBAY BRIDGE CAPITAL PARTNERS, LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/27/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTCROSSWINDS TRUSTOrganizationNO PERCENTAGE PROVIDEDsince 07/27/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTGI PLUM HOLDINGS, LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/27/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTGI SIDE FUND PLUM CORPOrganizationNO PERCENTAGE PROVIDEDsince 08/15/2014
5% OR GREATER INDIRECT OWNERSHIP INTERESTHORIZON WEST HEALTHCARE, INC.OrganizationNO PERCENTAGE PROVIDEDsince 07/27/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTHUDSON RIVER HOLDCO LLCOrganizationNO PERCENTAGE PROVIDEDsince 12/20/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTNEW SISU HOLDCO, LLCOrganizationNO PERCENTAGE PROVIDEDsince 08/15/2014
5% OR GREATER INDIRECT OWNERSHIP INTERESTTILFORD, TOBYIndividualNO PERCENTAGE PROVIDEDsince 01/15/2017
5% OR GREATER SECURITY INTERESTCAPITAL ONE NATIONAL ASSOCIATIONOrganizationsince 07/27/2018
OFFICERBECKEL, MARKIndividualsince 01/01/2020
OFFICERHAKIM, NAVEEDIndividualsince 01/15/2017
OPERATIONAL/MANAGERIAL CONTROLHAKIM, NAVEEDIndividualsince 01/15/2017
OPERATIONAL/MANAGERIAL CONTROLPLUM HEALTHCARE GROUP, LLCOrganizationsince 08/15/2014

Location Information

Street Address 15632 POMERADO ROAD
City POWAY
State CA
Zip Code 92064

Nursing Homes in the same zip code

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Villa Pomerado D/P Snf · Palomar Health 15615 Pomerado Rd, Poway, CA 9206485861345451988-05-055
Boulder Creek Post Acute · Pomerado Operations LLC 12696 Monte Vista Road, Poway, CA 9206485848762421985-07-261

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.