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Data / Nursing homes / California / Cottonwood Canyon Healthcare Center

Cottonwood Canyon Healthcare Center, El Cajon, CA: 3 star rating, fined $9,255 across 1 fine

Cottonwood Canyon Healthcare Center in El Cajon, CA is run by Koa Holdings LLC, with no owner listed in the CMS ownership file, is rated 3 of 5 stars by Medicare, and was fined $9,255 across 1 fine in the three years to October 1, 2026. CMS lists 37 health citations from inspections in that time, the latest survey on August 26, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in California
Address
1391 Madison Avenue, El Cajon, CA 92021
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
96
Residents per day
88 on average
Ownership type
For profit, corporation
Legal business name
Koa Holdings LLC
Chain
Pacs Group, 277 facilities
Fines
$9,255 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
37, of which 1 with actual harm or immediate jeopardy
Latest survey
August 26, 2026
CMS Certification Number
055064
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 12, 2026Fine$9,255Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 26, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 21, 2026data.cms.gov
April 15, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 7, 2026data.cms.gov
February 12, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMarch 13, 2026data.cms.gov
February 12, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
February 12, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
February 12, 2026F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
February 12, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
February 12, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2026data.cms.gov
August 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
August 11, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
April 24, 2025F660Plan the resident's discharge to meet the resident's goals and needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
April 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 23, 2025data.cms.gov
December 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 23, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F578Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
December 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 10, 2025data.cms.gov
September 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 25, 2024data.cms.gov
August 13, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2024data.cms.gov
May 30, 2024F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2024data.cms.gov
February 29, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 13, 2024data.cms.gov
December 6, 2023F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 13, 2023data.cms.gov
November 15, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov
November 15, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 7 individual or personal trusts (3 managers, 4 officers, directors or trustees). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.