ElderGrade
C

67.3/100

Average

Cottonwood Canyon Healthcare Center

1391 Madison Avenue, El Cajon, CA 92021

CMS 3/5 stars #65 of 81 in San Diego County (619) 444-1107
Certified beds
96
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $20,518 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 19.3/30 Staffing 13/30 Stability 12/15 Outcomes 15/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

19.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -6.7 for 36 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.34 total nurse hours per resident per day (national median 3.77)
  • 0.47 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 40% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $20,518 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.02 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.47 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.72 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 40.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 61 citations

Last standard health inspection: December 12, 2024 (1 year ago).

D Apr 15, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

G Feb 12, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

D Feb 12, 2026 F0641 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0678 From a complaint

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0726 From a complaint

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Aug 11, 2025 F0627 From a complaint

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PACS GROUP, which operates 281 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MOFIDI, MANSOUR Individual CONTRACTED MANAGING EMPLOYEE
MOORE, HUNTER Individual W-2 MANAGING EMPLOYEE
APT, FREDERICK Individual CORPORATE OFFICER
HANCOCK, MARK Individual CORPORATE OFFICER
JERGENSEN, JOSHUA Individual CORPORATE OFFICER
MITCHELL, JOHN Individual CORPORATE OFFICER
MOORE, HUNTER Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Cottonwood Canyon Healthcare Center

What is the ElderGrade for Cottonwood Canyon Healthcare Center? +

Cottonwood Canyon Healthcare Center holds an ElderGrade of C (67.3 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Cottonwood Canyon Healthcare Center? +

Residents receive an average of 4.02 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Cottonwood Canyon Healthcare Center been cited for harming residents? +

Yes. 2 of the 61 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Cottonwood Canyon Healthcare Center accept Medicaid? +

Yes, Cottonwood Canyon Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.