Total health inspections
19
California average 12.5
Last Health inspection on Aug 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Cottonwood Canyon Healthcare Center
Assisted Living in El Cajon
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Cottonwood Canyon Healthcare Center
Assisted Living in El Cajon
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Overview of Cottonwood Canyon Healthcare Center
An assisted living-inspired skilled nursing and rehabilitation home in El Cajon, Cottonwood Canyon Healthcare Center, delivered with an assisted living services approach. The nursing home is committed to providing its residents with a safe, well-balanced, and healing journey through the exceptional care delivered by its patient-friendly staff. Cottonwood Canyon can be trusted as a facility that cares for every senior’s needs.
Cottonwood Canyon’s services and amenities include activities and programs that promote a continuum of growth and meaningful experiences that boost their recovery period. These include 24/7 nursing supervision and care, weekly housekeeping and laundry, outings and activities, daily delicious and nutritious meals, and specialized programs.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 264th out of 294 homes in California.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 264th out of 294 homes in California.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 20m per day
vs California avg
-21%
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
96
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
92.2%
Avg. Length of Stay
110 days
Occupancy rate
92.2%
Avg. Length of Stay
110 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
3 - 4 months
Private pay
77% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Privately-owned community
Home revenue
$19.3M
Profit
$1.1M
Privately-owned community
Home revenue
$19.3M
Profit
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.1M
Walk Score: 67 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Awards5-Star Quality Measures Medicare Rating
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Nursing Services
Skilled Nursing
24-Hour Staffing
Expansive Rehab Gym
Spacious Courtyards
Common Areas
24/7 Nursing Care
ActivitiesAn engaging daily schedule allows patients to be as active and social as they want to be.
Specific ProgramsShort-Term Rehab, Activities
Operating HoursMonday – Friday: 8 am – 6 pm, Weekends: 10 am – 6 pm
Food DescriptionRegistered Dietitians oversee meal planning and presentation to ensure nutritious, tasty meals that fit each patient’s needs.
What does this home offer?
Minimum Age: 60 Years Old
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Cottonwood Canyon Healthcare Center
Assisted Living
Nursing Home
Health Inspection History
Inspections
Total health citations
63
California average 50.2
Citations per inspection
3.32
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 63 citations resulted from standard inspections; and 28 of 63 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
1
1
In line with California averageCalifornia average: 1
0 critical citations
1 serious citation
62 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 11, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 11, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 11, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 11, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 24, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 24, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 24, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 24, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around El Cajon The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
| Casa El Cajon |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | El Cajon | 99 | Yes | 82 | 4 | 16 | 35 | 89.9% | - | Lillian Franklin | - |
| Cottonwood Canyon Healthcare Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | El Cajon (East Madison Avenue) | 96 | No | 67 | 0 | 0 | - | 92.2% | - | - | - |
| Lucie’s Cozy Cottage |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | El Cajon | 6 | Yes | 34 | 5 | 0 | 8 | 83.3% | - | Caring Cottage, Llc. | - |
| Villa Alegre Senior Care Homes |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | El Cajon | 6 | Yes | 2 | 4 | 0 | 16 | 100.0% | - | Locsin, Frederick M/Donnah Rey | - |
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Places of interest near Cottonwood Canyon Healthcare Center
2.1 miles from city center
Estimated distance in miles from El Cajon's city center to Cottonwood Canyon Healthcare Center's address, calculated via Google Maps.
— 0.78 miles to nearest hospital (San Diego Vein Specialists)
Calculate Travel Distance to Cottonwood Canyon Healthcare Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
152
Employees
152
Contractors
0
Staff to resident ratio
1.95:1
1948618% better than California averageCalifornia average ratio: 0.00:1
Avg staff/day
63
Average shift
7.4 hours
0% compared with California averageCalifornia average: 7.7 hours
Total staff hours (quarter)
42,660
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 65 | 0 | 65 | 20,572 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 29 | 0 | 29 | 9,368 | 91 | 100% | 7.7 |
| Registered Nurse | 6 | 0 | 6 | 2,125 | 91 | 100% | 8.9 |
| Speech Language Pathologist | 10 | 0 | 10 | 1,348 | 80 | 88% | 5.8 |
| Physical Therapy Aide | 10 | 0 | 10 | 1,295 | 79 | 87% | 5.6 |
| Respiratory Therapy Technician | 8 | 0 | 8 | 1,004 | 69 | 76% | 6.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 938 | 90 | 99% | 6.8 |
| Physical Therapy Assistant | 4 | 0 | 4 | 841 | 79 | 87% | 6.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 797 | 89 | 98% | 7.9 |
| Dental Services Staff | 3 | 0 | 3 | 777 | 70 | 77% | 7.9 |
| Qualified Activities Professional | 2 | 0 | 2 | 700 | 65 | 71% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 524 | 64 | 70% | 8.2 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 224 | 65 | 71% | 2.6 |
| Physical Therapist | 1 | 0 | 1 | 100 | 13 | 14% | 7.7 |
65 Certified Nursing Assistant
% of Days
100%
29 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
100%
10 Speech Language Pathologist
% of Days
88%
10 Physical Therapy Aide
% of Days
87%
8 Respiratory Therapy Technician
% of Days
76%
3 Clinical Nurse Specialist
% of Days
99%
4 Physical Therapy Assistant
% of Days
87%
3 Other Dietary Services Staff
% of Days
98%
3 Dental Services Staff
% of Days
77%
2 Qualified Activities Professional
% of Days
71%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
70%
1 RN Director of Nursing
% of Days
70%
1 Occupational Therapy Aide
% of Days
70%
1 Dietitian
% of Days
70%
3 Qualified Social Worker
% of Days
71%
1 Physical Therapist
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78
Medicare
16
20.5% of residents
Medicaid
46
59% of residents
Private pay or other
16
20.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.2
52% better than California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.1
11% better than California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
3.0%
Percent of long-stay residents whose need for help with daily activities has increased
3.0%
73% better than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.8%
Percent of long-stay residents whose ability to move independently worsened
7.8%
35% better than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.6%
74% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
55% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
46% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.6%
Percent of long-stay residents who lose too much weight
1.6%
62% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
57.3%
Percent of long-stay residents who have depressive symptoms
57.3%
756% worse than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.7%
Percent of long-stay residents who received an antipsychotic medication
5.7%
43% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
17% worse than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$11K
79% lower than California averageCalifornia average: $55K
Number of fines
1
58% fewer fines than California averageCalifornia average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$11K
California average
$55K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2023
$11K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Cottonwood Canyon Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
92.2%
↑ 7.7pp vs 2022
Net Income
$1.1M
↑ ~$1.6M vs 2022
Total Payroll
$8.6M
↑ ~$396.4K vs 2022
Profit Margin
5.7%
↑ 9.6pp vs 2022
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