Starfile / California

COTTONWOOD CANYON HEALTHCARE CENTER

1391 MADISON AVENUE, EL CAJON, CA 92021 · CCN 055064

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$11,408

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (64)1 actual harm

1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-08-11 · Health · corrected 2025-09-10

   Potential for more than minimal harm

2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-11 · Health · corrected 2025-09-10

   Potential for more than minimal harm

3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-05-23

   Potential for more than minimal harm

4. EF0660Plan the resident's discharge to meet the resident's goals and needs.2025-04-24 · Health · corrected 2025-05-23

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-23 · Health · corrected 2025-01-10

   Potential for more than minimal harm

6. DF0760Ensure that residents are free from significant medication errors.2024-12-23 · Health · corrected 2025-01-10

   Potential for more than minimal harm

7. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-23 · Health · corrected 2025-01-10

   Potential for more than minimal harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-12 · Health · corrected 2025-01-10

   Potential for more than minimal harm

9. EF0578Honor 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.2024-12-12 · Health · corrected 2025-01-10

   Potential for more than minimal harm

10. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

11. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

12. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

13. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

14. DF0685Assist a resident in gaining access to vision and hearing services.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

15. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

16. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

17. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

18. DF0758Implement 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.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

20. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

21. DF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

22. EF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-01-10

    Potential for more than minimal harm

23. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-26 · Health · corrected 2024-10-25

    Potential for more than minimal harm

24. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-13 · Health · corrected 2024-09-10

    Potential for more than minimal harm

25. DF0758Implement 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.2024-05-30 · Health · corrected 2024-06-17

    Potential for more than minimal harm

26. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-29 · Health · corrected 2024-03-13

    Potential for more than minimal harm

27. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-12-06 · Health · corrected 2023-12-13

    Potential for more than minimal harm

28. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-15 · Health · corrected 2023-12-15

    Potential for more than minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-15 · Health · corrected 2023-12-15

    Potential for more than minimal harm

30. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-01 · Health · corrected 2023-08-31

    Actual harm

31. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-08-01 · Health · corrected 2023-08-31

    Potential for more than minimal harm

32. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-18 · Health · corrected 2023-08-01

    Potential for more than minimal harm

33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-18 · Health · corrected 2023-08-01

    Potential for more than minimal harm

34. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-07-06 · Health · corrected 2023-07-18

    Potential for more than minimal harm

35. DF0761Ensure 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.2023-06-15 · Health · corrected 2023-06-27

    Potential for more than minimal harm

36. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-26 · Health · corrected 2023-05-10

    Potential for more than minimal harm

37. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-26 · Health · corrected 2023-05-10

    Potential for more than minimal harm

38. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-26 · Health · corrected 2023-05-10

    Potential for more than minimal harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-26 · Health · corrected 2023-05-10

    Potential for more than minimal harm

40. DF0583Keep residents' personal and medical records private and confidential.2023-04-25 · Health · corrected 2023-05-10

    Potential for more than minimal harm

41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-25 · Health · corrected 2023-05-10

    Potential for more than minimal harm

42. DF0761Ensure 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.2023-04-25 · Health · corrected 2023-05-10

    Potential for more than minimal harm

43. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-03-02 · Health · corrected 2023-03-23

    Potential for more than minimal harm

44. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-02 · Health · corrected 2023-03-23

    Potential for more than minimal harm

45. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

47. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

48. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

49. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

50. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

51. DF0761Ensure 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.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

52. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

53. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

54. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

55. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

56. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-07-15 · Health · corrected 2021-08-13

    Potential for more than minimal harm

57. DF0584Honor 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.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

58. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

59. DF0679Provide activities to meet all resident's needs.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

60. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

61. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

62. DF0758Implement 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.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

63. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

64. EF0880Provide and implement an infection prevention and control program.2019-07-11 · Health · corrected 2019-08-10

    Potential for more than minimal harm

Ownership

Other facilities in EL CAJON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.