COTTONWOOD CANYON HEALTHCARE CENTER
COTTONWOOD CANYON HEALTHCARE CENTER is a 96-bed nursing home in EL CAJON, California. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 90.1 residents a day.
What harm was found in the violations cited at COTTONWOOD CANYON HEALTHCARE CENTER?
CMS lists 58 health-inspection deficiencies for COTTONWOOD CANYON HEALTHCARE CENTER since 2019-07-11, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-15.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-02-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-02-12 | F0641, F0656, F0678, F0726, F0842 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-08-11 | F0627, F0684 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-24 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | E |
| 2025-04-24 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-12-23 | F0656, F0760, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-12-12 | F0578, F0812, F0842, F0880 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-12-12 | F0550, F0605, F0622, F0656, F0684, F0685, F0695, F0699, F0756, F0758, F0851 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2024-09-26 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-08-13 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2024-05-30 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
| 2024-02-29 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2023-12-06 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D |
| 2023-11-15 | F0550, F0656 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-08-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2023-08-01 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2021-07-15 | F0802, F0812, F0925 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2021-07-15 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2021-07-15 | F0607, F0656, F0686, F0698, F0755, F0761, F0806, F0813 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2019-07-11 | F0755, F0880 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2019-07-11 | F0584, F0657, F0679, F0684, F0758, F0849 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
Why was COTTONWOOD CANYON HEALTHCARE CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2026-02-12 | Fine | $9,110 |
How is COTTONWOOD CANYON HEALTHCARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.02046 | 4.51570 |
| Total nursing staff turnover (%) | 40.4 | 36.7 |
| Average number of residents per day | 90.1 | 87.9 |
Who owns COTTONWOOD CANYON HEALTHCARE CENTER, and what chain is it in?
COTTONWOOD CANYON HEALTHCARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name KOA HOLDINGS LLC and belongs to the PACS GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CONTRACTED MANAGING EMPLOYEE | MOFIDI, MANSOUR | since 10/01/2022 |
| W-2 MANAGING EMPLOYEE | MOORE, HUNTER | since 08/01/2022 |
| CORPORATE OFFICER | APT, FREDERICK, HANCOCK, MARK, JERGENSEN, JOSHUA, MITCHELL, JOHN | since 01/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | MOORE, HUNTER | since 08/01/2022 |
Were you or a family member harmed at COTTONWOOD CANYON HEALTHCARE CENTER?