Cottonwood Healthcare Center

625 Cottonwood Street · Woodland, CA · 95695 · 5306629193

98 certified beds For profit - Limited Liability company Chain: Aspen Skilled Healthcare

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 79 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 100
Staffing 20% 83
Federal penalties 15% 100
Trend 10% 76
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.163.48 min · 4.1 strong
RN hours / resident-day0.980.55–0.75
Weekend hours / resident-day3.84≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)none

Inspection citations (43 in the current record)

  • Potential for harm · F July 30, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected August 7, 2025 · Resident Rights

  • Potential for harm · D July 30, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected August 7, 2025 · Quality of Life and Care

  • Potential for harm · D July 30, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 7, 2025 · Pharmacy Service

  • Potential for harm · E July 30, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 7, 2025 · Pharmacy Service

  • Potential for harm · D July 30, 2025

    Ensure that residents are free from significant medication errors.

    Corrected August 7, 2025 · Pharmacy Service

  • Potential for harm · F July 30, 2025

    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.

    Corrected August 7, 2025 · Pharmacy Service

  • Potential for harm · E July 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 7, 2025 · Infection Control

  • Potential for harm · D February 20, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 20, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 12, 2025 · Infection Control

  • Potential for harm · D February 20, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected March 12, 2025 · Environmental

  • Potential for harm · D December 30, 2024 · found via complaint

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

    Corrected January 15, 2025 · Quality of Life and Care

  • Potential for harm · D November 25, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 13, 2024 · Resident Rights

  • Potential for harm · D August 15, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 4, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 2024

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

    Corrected September 4, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 4, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 4, 2024 · Quality of Life and Care

  • Potential for harm · D August 15, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 4, 2024 · Quality of Life and Care

  • Potential for harm · D August 15, 2024

    Observe each nurse aide's job performance and give regular training.

    Corrected September 4, 2024 · Nursing and Physician Services

  • Potential for harm · D August 15, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected September 4, 2024 · Pharmacy Service

  • Potential for harm · D August 15, 2024

    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.

    Corrected September 4, 2024 · Pharmacy Service

  • Potential for harm · E August 15, 2024

    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.

    Corrected September 4, 2024 · Pharmacy Service

  • Potential for harm · E August 15, 2024

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected September 4, 2024 · Nutrition and Dietary

  • Potential for harm · E August 15, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 4, 2024 · Nutrition and Dietary

  • Potential for harm · E August 15, 2024

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected September 4, 2024 · Administration

  • Potential for harm · D August 15, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 4, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056098 · certified since September 15, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.