COTTONWOOD CANYON HEALTHCARE CENTER – EL CAJON, CA

CMS Verified | 2026-03-01

Cottonwood Canyon Healthcare Center

1391 MADISON AVENUE, El Cajon, CA 92021
(619) 444-1107
96 beds
All El Cajon facilities
3.0*
Overall
2.0*
Health Inspection
5.0*
Quality Care
3.0*
Staffing
80.71
Score /100
#3374
National Rank

#3374
of 14703 facilities
National
77.1% position
#417
of 1162 in CA
State Rank
#44
of 81 in San Diego
County Rank
#5
of 12 in El Cajon
City Rank
#3
of 5 in ZIP 92021
ZIP Rank






About Cottonwood Canyon Healthcare CenterCottonwood Canyon Healthcare Center is located at 1391 Madison Avenue, El Cajon, CA, reachable at (619) 444-1107. This For profit – Corporation facility operates 96.0 certified beds and serves an average of 88 residents per day. It is part of the Pacs Group network (264 facilities nationwide). Medicare and Medicaid services have been provided since 1967-01-01. The facility currently holds a average (3-star) overall CMS rating.
Facility

Cottonwood Canyon Healthcare Center

Address

1391 Madison Avenue, El Cajon, CA 92021

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 96 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: PACS GROUP

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 3 fine(s) over 5 years
5-Year Trend
Improving over 5 years
80.71
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3374 of 14703 nationally – #417 of 1162 in California

Who Is This Facility Best For?

Cottonwood Canyon Healthcare Center offers a mid-range care option in El Cajon, CA. It scores well for both long-term residents and short-stay rehabilitation patients.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

2 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightCottonwood Canyon Healthcare Center currently provides 4 hours 14 minutes of total nurse staffing per resident per day, including 26 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover stands at 36.7% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 14 minutes
Nurse Aide Hours2 hours 32 minutes
Licensed Practical Nurse (LPN) Hours1 hour 16 minutes
Registered Nurse (RN) Hours26 minutes
Physical Therapist Hours10 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours4 hours 5 minutes
Weekend Registered Nurse (RN) Hours21 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $11,408. 58 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $11408.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 121.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,374
of 14,703
National
Top 23%
#417
CA State
Top 36% in CA
#44
of 81
️ San Diego County
#44 of 81
#5
of 12
️ El Cajon
#5 of 12
#3
of 5
ZIP 92021
#3 of 5

Nationally, Cottonwood Canyon Healthcare Center ranks 3374th out of 14,703 facilities (composite score: 80.7/100), placing it in the top 25% nationwide. Within CA, it ranks 417th out of 1,162 nursing homes. In El Cajon, it ranks 5th out of 12 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 5. For 2026 staffing: total nurse hours rank #3,510 nationally and RN hours rank #10,350 nationally (#686 in CA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 3.45 #8,260 / 14,703 #1,009 / 1,162 Below average
2023 3.52 #7,656 / 14,703 #985 / 1,162 Below average
2024 3.74 #6,038 / 14,703 #937 / 1,162 Above average
2025 3.93 #5,015 / 14,703 #839 / 1,162 Above average
2026 4.23 #3,510 / 14,703 #565 / 1,162 Top 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank CA State Rank Note
2022 0.43 #10,252 / 14,703 #686 / 1,162 Below average
2023 0.39 #10,387 / 14,703 #655 / 1,162 Below average
2024 0.38 #10,854 / 14,703 #682 / 1,162 Below average
2025 0.34 #11,890 / 14,703 #841 / 1,162 ⚠️ Bottom 25%
2026 0.43 #10,350 / 14,703 #686 / 1,162 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Cottonwood Canyon Healthcare Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1967-01-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (619) 444-1107 or your local Medicaid office to verify current eligibility.

Cottonwood Canyon Healthcare Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 80.7/100, placing it #3374 of 14703 facilities nationally and #417 of 1162 in California. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Cottonwood Canyon Healthcare Center receives a reported average of 4 hours 14 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 26 minutes; Licensed Practical Nurse (LPN) — 1 hour 16 minutes; Nurse Aide — 2 hours 32 minutes. On weekends, total nurse staffing is 4 hours 5 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 36.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $11,408. 58 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $11,408, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 121.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Cottonwood Canyon Healthcare Center ranks 3374th out of 14,703 facilities (composite score: 80.7/100), placing it in the top 25% nationwide. Within CA, it ranks 417th out of 1,162 nursing homes. In El Cajon, it ranks 5th out of 12 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 5. For 2026 staffing: total nurse hours rank #3,510 nationally and RN hours rank #10,350 nationally (#686 in CA). Our composite quality score of 80.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in El Cajon, visit: https://nursinghomesnearme.org/california/el-cajon/

Contact and Location

ADR
Address

1391 MADISON AVENUE, El Cajon, CA 92021
Get directions on Google Maps

TEL
LLC
Legal Name

KOA HOLDINGS LLC

MAP
Browse by Location

All California ·
San Diego County ·
El Cajon ·
ZIP 92021

Facility Details

Number of Certified Beds 96
Average Residents / Day 88 (92% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County San Diego County, CA
City El Cajon, CA
ZIP Code 92021
Approved Since January 1, 1967
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 055064
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org