Cottonwood Canyon Healthcare Center
COTTONWOOD CANYON HEALTHCARE CENTER in EL CAJON, CA — inspection on August 11, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
resident and the representative .
055064 08/11/2025
Cottonwood Canyon Healthcare Center 1391 Madison Avenue El Cajon, CA 92021
or find a suitable time for a shower for one of three sampled residents (Resident 4).This failure
hygiene.Findings:Resident 4 was admitted to the facility on [DATE] with diagnoses that included a fracture (broken) of the left ilium (pelvic bone), per the admission Record.On July 7, 2025, at 2:52 P.M., a complainant reported that Resident 4 had not received a shower at the facility for over ten days. Resident 4 preferred morning showersA review of the Activity of Daily Living (ADL- a set of self-care tasks) Report dated 6/23/25 through 7/7/25, under bathing, Resident 4 indicated that the staff had not assisted Resident 4 with showering from 6/23/25 until 7/4/25. Resident 4 did not receive a shower for 11 days.Per the Shower Schedule, Resident 4's scheduled shower was during the PM shift (a work period that falls in the late afternoon or second shift).On 7/8/25 at 1:15 P.M., Resident 4 was not available for an interview.On 7/8/25 at 2:30 P.M., a joint interview and record review was conducted with the Assistant Director of Nursing (ADON).
The ADON stated Resident 4 was admitted on [DATE], and had a scheduled shower every Wednesday and Saturday. Resident 4 had refused showers three times.
The ADON further said that not showering for 11 days was a long time, and should have involved the family and the physician.The ADON stated there was no documented evidence that the physician or family member was made aware of this or offered Resident 4 alternatives, which the staff should have done.
The ADON further stated it was important for a resident to shower to maintain personal hygiene [cleanliness].
Licensed Nurses assigned to Resident 4 were not available for interview.Per the facility's policy and procedure, dated 2/2018, titled Bath, Shower/Tub, The purpose of this procedure are to promote cleanliness, provide comfort to the resident and observe the condition of the resident's skin .
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.