Cottonwood Canyon Healthcare Center
1391 Madison Avenue, El Cajon, CA, 92021
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Pacs Group
- Certified beds
- 96 · avg 88 residents/day
- Total nursing staff turnover
- 44.2% — higher than most California nursing homesCalifornia avg: 37.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 50% — higher than most California nursing homesCalifornia avg: 39.4% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the California averageCalifornia avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $25,423 total
Medicare certification
- CMS Certification Number
- 055064
- Certified beds
- 96 beds · avg 88 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Koa Holdings Llc
- Chain affiliation
- Pacs Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Pacs Group chain — 279 facilities across 16 states. Chain-wide average overall rating 3.0 / 5.
Disclosed owners (10 on record)
- Jason h Murray
5% or Greater Indirect Ownership Interest · 42% · since 2024
- Mark d Hancock
5% or Greater Indirect Ownership Interest · 42% · since 2024
- Frederick g Apt
Corporate Officer · since 2024
- John t Mitchell
Corporate Officer · since 2024
- Joshua o Jergensen
Corporate Officer · since 2024
- Pacs Group, Inc.Holding
5% or Greater Indirect Ownership Interest · 100% · since 2023
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 62)
- D0689·Apr 15, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0842·Feb 12, 2026Complaint
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.
- D0726·Feb 12, 2026Complaint
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.
- G0689·Feb 12, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0678·Feb 12, 2026Complaint
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.
- D0656·Feb 12, 2026Complaint
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.
- D0641·Feb 12, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0684·Aug 11, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20261 fine · $14K
- 20231 fine · $11K
Most recent events
- Feb 12, 2026Fine · $14K
- Aug 1, 2023Fine · $11K
Largest single fine on record: $14K.
Fire-safety citations
21 Life-Safety-Code citations on file. Most recent: Dec 12, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Cottonwood Canyon Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.