The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COTTONWOOD CANYON HEALTHCARE CENTER
EL CAJON, CA · Medicare-certified · 96 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Cottonwood Canyon Healthcare Center in El Cajon has a 3-star overall rating, with 2-star health inspection and staffing scores but 5-star quality measures. It also has a recent federal penalty, $9,110 in fines over the last 24 months, and reported nurse staffing of 4.02 hours per resident per day, just below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.0205 hrs/resident/day
Quality measures
Last inspection: April 15, 2026Penalties, last 24 months: $9,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0205.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 1.08
- Nurse aides
- 2.47
- Weekend nursing
- 3.72
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%5.8%Worsening
Residents with a fall causing major injury
1.7%1.5%No change
Residents with pressure ulcers (bedsores)
1.7%2.4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.6%3.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%1.8%Worsening
Residents whose ability to walk got worse
0%6.7%Worsening
Long-stay residents on antianxiety or sleep medication
15.5%7.8%Improving
Short-stay residents newly given an antipsychotic
0%1.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.3%26.1%Worsening
Residents with depressive symptoms
10.9%42.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited July 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited July 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $9,110 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $20,518 in total fines.
- $9,110
Federal fine
Feb 12, 2026
- $11,408
Federal fine
Aug 1, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PACS GROUP · 281 homes · 2.8 stars avg
- Occupancy
- 90.1 residents on an average day (94% of 96 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.