3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 327th out of 354 homes in California for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 30% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 11m per day | ▼ 3% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 31m per day | ▼ 4% State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 0m per day | ■ Avg State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 10m per day | ▲ 94% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 23m per day | ▼ 23% State avg: 30m per day · National avg: 28m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
70% more staff per resident than California average
9% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 13 full-time employees and 1 contractor.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
60 total: 33 full-time employees and 27 contractors.
60
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
116 total: 72 full-time employees and 44 contractors.
116
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,541 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 72 | 44 | 116 | 20,411 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 33 | 27 | 60 | 9,071 | 92 | 100% | 7.3 |
| Registered Nurse | 13 | 1 | 14 | 2,714 | 92 | 100% | 8 |
| Physical Therapy Aide | 12 | 0 | 12 | 1,510 | 86 | 93% | 5.3 |
| Speech Language Pathologist | 9 | 0 | 9 | 1,310 | 76 | 83% | 5.9 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,307 | 66 | 72% | 6.2 |
| Dental Services Staff | 2 | 0 | 2 | 1,002 | 77 | 84% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 968 | 89 | 97% | 7.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 706 | 84 | 91% | 7.6 |
| Physical Therapy Assistant | 4 | 0 | 4 | 557 | 75 | 82% | 5.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 516 | 64 | 70% | 8.1 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 272 | 34 | 37% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 200 | 61 | 66% | 2.6 |
Includes penalties issued in 2023
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)
79% lower than California averageCalifornia average: $55K
58% fewer fines than California averageCalifornia average: 2.4
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 1, 2023 · $11K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
3.0%
73% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
7.8%
35% better than California averageCalifornia average: 12.0%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
55% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
46% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
1.6%
62% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
57.3%
756% worse than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
5.7%
43% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.09
7% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.35
15% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
17% worse than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
11.0%
53% better than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.5%
33% better than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.7%
In line with California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.4%
In line with California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
77% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Cottonwood Canyon Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #173 / 355Payroll — State benchmarkedThis home is ranked 173rd out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #225 / 355Payroll % — State benchmarkedThis home is ranked 225th out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Minimum Age: 60 Years Old
Building Type: Single-story
Transportation Services
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (77% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the California Department of Social Services and Department of Public Health.
| Cottonwood Canyon Healthcare Center | NH HC MC PC RC | El Cajon (East Madison Avenue) | 96
Facility
96
CA AVG
103
Rank
#804 / 1657 |
92.2%
Facility
92.2%
CA AVG
84.7%
Rank
#261 / 1537 | +9% | 3.33
Facility
3.33
CA AVG
4.22
Rank
#327 / 354 | -35% | -21% | $25.4k
Facility
$25.4k
CA AVG
$56.5k
Rank
#273 / 362 | - | 63
Facility
63
CA AVG
50.2
Rank
#279 / 361 | 3.3
Facility
3.3
CA AVG
4.6
Rank
#90 / 361 | 1 | 88 | - |
67
Facility
67
CA AVG
57
Rank
#830 / 2092 | Hunter Moore | $14.8M
Facility
$14.8M
CA AVG
$17.0M
Rank
#150 / 355 | $7.9M
Facility
$7.9M
CA AVG
$7.0M
Rank
#173 / 355 | 53.6%
Facility
53.6%
CA AVG
45.2%
Rank
#225 / 355 | 55064 | ||||
| Villa Las Palmas Healthcare Center | NH HC NC | El Cajon | 151
Facility
151
CA AVG
103
Rank
#339 / 1657 |
94.8%
Facility
94.8%
CA AVG
84.7%
Rank
#202 / 1537 | +12% | 3.47
Facility
3.47
CA AVG
4.22
Rank
#296 / 354 | -5% | -18% | $33.7k
Facility
$33.7k
CA AVG
$56.5k
Rank
#289 / 362 | - | 50
Facility
50
CA AVG
50.2
Rank
#226 / 361 | 3.3
Facility
3.3
CA AVG
4.6
Rank
#90 / 361 | 2 | 142 | - |
59
Facility
59
CA AVG
57
Rank
#1088 / 2092 | William Jenkins | $23.4M
Facility
$23.4M
CA AVG
$17.0M
Rank
#54 / 355 | $14.4M
Facility
$14.4M
CA AVG
$7.0M
Rank
#33 / 355 | 61.5%
Facility
61.5%
CA AVG
45.2%
Rank
#209 / 355 | 55806 |
Cottonwood Canyon Healthcare Center is located in El Cajon, California.
Here are the financial assistance programs available to residents in California.
Cottonwood Canyon Healthcare Center is in the East Madison Avenue neighborhood.
Cottonwood Canyon Healthcare Center has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Cottonwood Canyon Healthcare Center's occupancy is 92.2%.
Cottonwood Canyon Healthcare Center is registered as a for-profit.
Yes — there are 6 photos of Cottonwood Canyon Healthcare Center in the photo gallery on this page.
Cottonwood Canyon Healthcare Center is located at 1391 E Madison Ave, El Cajon, CA 92021.
(619) 444-1107 will put you in contact with the team at Cottonwood Canyon Healthcare Center.
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