Cottonwood Canyon Healthcare Center: Staffing, Turnover, and Inspection Record
Cottonwood Canyon Healthcare Center is a 96-bed for-profit nursing home in El Cajon, California, part of Pacs Group. In the CMS August 2026 release it reported 2.47 nurse aide hours per resident per day, 7% below the California average of 2.65, and 40.4% nursing staff turnover (California average 36.7%).
Cottonwood Canyon Healthcare Center
1391 Madison AvenueEl Cajon, CA 92021
San Diego County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Cottonwood Canyon Healthcare Center, nurse aides logged 2.47 hours per resident per day, 7% below the California average. With about 90 residents a day, that works out to roughly 222 aide hours a day, or about 28 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.47 | 2.65 | 2.32 |
| Licensed practical nurses | 1.08 | 1.20 | 0.86 |
| Registered nurses | 0.47 | 0.67 | 0.69 |
| All nursing staff | 4.02 | 4.52 | 3.86 |
| All nursing staff, weekends | 3.72 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
40.4% of nursing staff at Cottonwood Canyon Healthcare Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 12, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 24 health deficiencies (California average 15.7). CMS lists 1 fine totaling $9,110 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 12, 2026 | Fine | $9,110 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Cottonwood Canyon Healthcare Center holds 3 of 5 overall; the California average is 3.2.
About Cottonwood Canyon Healthcare Center
- Ownership: For profit - Corporation
- Chain: Pacs Group, 274 homes
- Legal name: Koa Holdings LLC
- Medicare and Medicaid certified since: Jan 1, 1967
- Councils: resident council
- Area: urban
Nursing homes near Cottonwood Canyon Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Granite Hills Healthcare & Wellness Centre, LLC El Cajon | 0.0 | 99 | 2.57 | 4.06 | — | 2 | $14,015 |
| Country Hills Post Acute El Cajon | 0.8 | 305 | 2.45 | 3.91 | 58.2% | 1 | $122,210 |
| Villa Las Palmas Healthcare Center El Cajon | 1.4 | 151 | 2.24 | 3.73 | 33.1% | 3 | $33,732 |
| Victoria Post Acute Care El Cajon | 1.4 | 120 | 2.32 | 4.03 | 49.6% | 5 | None |
| Bradley Court El Cajon | 1.7 | 56 | 1.79 | 3.16 | 13.5% | 5 | None |
| The Royal Home El Cajon | 1.8 | 19 | 2.49 | 4.18 | 73.9% | 4 | None |
| Somerset Post Acute Care El Cajon | 1.8 | 65 | 2.64 | 4.68 | 61.9% | 3 | $26,728 |
| Magnolia Post Acute Care El Cajon · abuse citation | 1.9 | 99 | 2.13 | 3.89 | 37.5% | 3 | $117,475 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.