Cottonwood Canyon Healthcare CenterCMS ratings, inspections and fines
- Address
- 1391 Madison Avenue, El Cajon, CA 92021
- CCN
- 055064
- Ownership type
- For-profit, corporation
- Certified beds
- 96
- Chain
- PACS Group
- Residents per day
- 90
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Cottonwood Canyon Healthcare Center an overall rating of 3 of 5 stars. The last standard survey was on 12 Dec 2024. The latest survey cycle has 24 health citations. The median for nursing homes in California is 14. CMS lists 1 fine of $9,110 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | San Diego County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 83 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 12 Dec 2024 | 24 | 14 |
| Cycle 2 | 15 Jul 2021 | 19 | 14 |
| Cycle 3 | No date | 15 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 May 2026 |
| 12 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 13 Mar 2026 |
| 12 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 13 Mar 2026 |
| 12 Feb 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 13 Mar 2026 |
| 12 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Mar 2026 |
| 12 Feb 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 13 Mar 2026 |
| 12 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 13 Mar 2026 |
| 11 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 10 Sep 2025 |
| 11 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Sep 2025 |
| 12 Dec 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Standard survey | 10 Jan 2025 |
| 12 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Jan 2025 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 23 May 2025 |
| 24 Apr 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | E | Complaint investigation | 23 May 2025 |
| 23 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Jan 2025 |
| 23 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 10 Jan 2025 |
| 23 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 10 Jan 2025 |
| 26 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 25 Oct 2024 |
| 13 Aug 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 10 Sep 2024 |
| 15 Jul 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 13 Aug 2021 |
| 15 Jul 2021 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 13 Aug 2021 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 May 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 17 Jun 2024 |
| 29 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 13 Mar 2024 |
| 6 Dec 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 13 Dec 2023 |
| 15 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 Dec 2023 |
| 15 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Dec 2023 |
| 1 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 31 Aug 2023 |
| 1 Aug 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 31 Aug 2023 |
| 11 Jul 2019 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 10 Aug 2019 |
| 11 Jul 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 10 Aug 2019 |
| 11 Jul 2019 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 10 Aug 2019 |
| 11 Jul 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Aug 2019 |
| 11 Jul 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 10 Aug 2019 |
| 11 Jul 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 10 Aug 2019 |
| 11 Jul 2019 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 10 Aug 2019 |
| 11 Jul 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Aug 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Feb 2026 | Fine | $9,110 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 4.02 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.47 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 1.08 | 1.20 | |
| Nurse aides | 2.47 | 2.65 | |
| All nurse staff, weekends | 3.72 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 40.4%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.7% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.6% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Koa Holdings LLC
- Chain
- PACS Group (274 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in San Diego County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Granite Hills Healthcare & Wellness Centre, LLC | El Cajon | 2 of 5 | 15 | $14,015 | 30 Jan 2025 | |
| Country Hills Post Acute | El Cajon | 1 of 5 | 31 | $122,210 | 14 Mar 2025 | |
| Villa Las Palmas Healthcare Center | El Cajon | 3 of 5 | 5 | $33,732 | 8 May 2025 | |
| Victoria Post Acute Care | El Cajon | 5 of 5 | 9 | $0 | 29 Jan 2026 | |
| Bradley Court | El Cajon | 5 of 5 | 5 | $0 | 13 Mar 2025 | |
| The Royal Home | El Cajon | 4 of 5 | 9 | $0 | 3 Dec 2025 | |
| Somerset Post Acute Care | El Cajon | 3 of 5 | 16 | $26,728 | 13 Mar 2025 | |
| Magnolia Post Acute Care | El Cajon | 3 of 5 | 13 | $117,475 | 29 Aug 2025 | |
| Stillwater Post-Acute | El Cajon | 2 of 5 | 21 | $0 | 18 Apr 2025 | |
| San Diego Post-Acute Center | El Cajon | 1 of 5 | 37 | $46,495 | 27 Feb 2025 | |
| Parkside Health and Wellness Center | El Cajon | 5 of 5 | 4 | $0 | 30 May 2025 | |
| Stanford Court Skilled Nursing & Rehab Center | Santee | 5 of 5 | 13 | $0 | 4 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Cottonwood Canyon Healthcare Center (CCN 055064). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/cottonwood-canyon-healthcare-center-el-cajon-ca-055064/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Cottonwood Canyon Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 15 Apr 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 15 Jul 2021.
- Who operates Cottonwood Canyon Healthcare Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain PACS Group. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Cottonwood Canyon Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.