Cottonwood Canyon Healthcare Center
Medicare-certified1391 MADISON AVENUE, El Cajon, CA 92021
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Granite Hills Healthcare & Wellness Centre provides skilled nursing and rehabilitation services to El Cajon, California residents who need comprehensive recovery support. Our experienced care team focuses on helping patients regain independence through personalized treatment plans and therapeutic services designed for each individual's goals.
Capacity
99 residents
Location
El Cajon, CA
Status
Listed in a public registry
1340 E MADISON AVE, 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 January 30, 2025, state inspectors cited 13 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 3 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare fined Granite Hills Healthcare & Wellness Centre, LLC once in the last three years, $14,015 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 3 minutesBelow the California average |
| Registered nurse time per resident, per day | 25 minutesBelow the California average |
26 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 4, 2026 · Complaint investigation · 1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 14, 2025 · Complaint investigation · 2 citations
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.
Ensure that residents are free from significant medication errors.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a plan that describes the process for conducting QAPI and QAA activities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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 enough food/fluids to maintain a resident's health.
Assist a resident in gaining access to vision and hearing services.
Provide care or services that was trauma informed and/or culturally competent.
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.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
1 fine totaling $14,015 in the last three years.
1340 E MADISON AVEEl Cajon, CA 92021
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State inspectors visited on January 30, 2025 and cited 13 health deficiencies, 2 of them from complaint investigations. The California average is 15.5.
Nurses and aides spend 4 hours 3 minutes with each resident per day, including 25 minutes from registered nurses.
Yes. Medicare fined Granite Hills Healthcare & Wellness Centre, LLC once in the last three years, totaling $14,015.
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.