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Cottonwood Canyon Healthcare Center brings specialized skilled nursing and rehabilitation care to El Cajon, California, with a focus on helping patients regain independence after hospitalization or injury. Our experienced clinical team provides personalized recovery programs designed to support each patient's unique healing goals.
Capacity
96 residents
Location
El Cajon, CA
Status
Listed in a public registry
1391 MADISON AVENUE, El Cajon, California 92021
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 12, 2024, state inspectors cited 22 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 1 minute with each resident a day, below the California average of 4 hours 31 minutes.
Medicare fined Cottonwood Canyon Healthcare Center once in the last three years, $9,110 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 1 minuteBelow the California average |
| Registered nurse time per resident, per day | 28 minutesBelow the California average |
| Nursing staff who left in the past year | 40%Above the California average |
36 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 15, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 12, 2026 · Complaint investigation · 6 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident receives an accurate assessment.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Plan the resident's discharge to meet the resident's goals and needs.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that residents are free from significant medication errors.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Provide care or services that was trauma informed and/or culturally competent.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Assist a resident in gaining access to vision and hearing services.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide safe and appropriate respiratory care for a resident when needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe, appropriate pain management for a resident who requires such services.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide care or services that was trauma informed and/or culturally competent.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
1 fine totaling $9,110 in the last three years.
1391 MADISON AVENUEEl Cajon, CA 92021
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State inspectors visited on December 12, 2024 and cited 22 health deficiencies, 9 of them from complaint investigations. The California average is 15.5.
Nurses and aides spend 4 hours 1 minute with each resident per day, including 28 minutes from registered nurses. 40% of nursing staff left over the past year.
Yes. Medicare fined Cottonwood Canyon Healthcare Center once in the last three years, totaling $9,110.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.