Nursing homes › California › Cottonwood Canyon Healthcare Center
1391 Madison Avenue, El Cajon, CA 92021 · 6194441107 · 96 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates above its group average (2.8/5).
Total nurse staffing: 4.02 (California median: 4.24). RN hours: 0.47. Weekend total: 3.72. Nursing staff turnover: 40%.
All-time on record: 61 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-07 |
| 2026-02-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-03-13 |
| 2026-02-12 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-03-13 |
| 2026-02-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-03-13 |
| 2026-02-12 | 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 | corrected 2026-03-13 |
| 2026-02-12 | 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 | corrected 2026-03-13 |
| 2026-02-12 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-03-13 |
| 2025-08-11 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | complaint | corrected 2025-09-10 |
| 2025-08-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-09-10 |
| 2025-04-24 | Plan the resident's discharge to meet the resident's goals and needs. | E | complaint | corrected 2025-05-23 |
| 2025-04-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-05-23 |
| 2024-12-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-01-10 |
| 2024-12-23 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-01-10 |
| 2024-12-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-01-10 |
| 2024-12-12 | 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 | Health | corrected 2025-01-10 |
| 2024-12-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-01-10 |
| 2024-12-12 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2025-01-10 |
| 2024-12-12 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-01-10 |
| 2024-12-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | 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 | Health | corrected 2025-01-10 |
| 2024-12-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-01-10 |
| 2024-12-12 | 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 | Health | corrected 2025-01-10 |
| 2024-12-12 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | Health | corrected 2025-01-10 |
| 2024-09-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-10-25 |
| 2024-08-13 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2024-09-10 |
| 2024-05-30 | 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 | corrected 2024-06-17 |
| 2024-02-29 | 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 | corrected 2024-03-13 |
| 2023-12-06 | Provide care or services that was trauma informed and/or culturally competent. | D | complaint | corrected 2023-12-13 |
| 2023-11-15 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-12-15 |
| 2023-11-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-12-15 |
| 2023-08-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2023-08-31 |
| 2023-08-01 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2023-08-31 |
| 2023-07-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-08-01 |
| 2023-07-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-08-01 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-12 | Fine | $9,110 |
| 2023-08-01 | Fine | $11,408 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MOORE, HUNTER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055064. Corrections: data@carerecords.org.