Federal inspection record · CMS data as of October 1, 2026
Cottonwood Healthcare Center
625 Cottonwood Street, Woodland, CA · (530) 662-9193
- CMS high-performer trophy
- Certified beds
- 98
- Residents per day
- 89
- Ownership
- For-Profit
- Chain
- Aspen Skilled Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 15, 1969
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Cottonwood Healthcare Center carries 48 inspection points. That is fewer than 80% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
32 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service7F
- F
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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
Quality of Life and Care6D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights4F
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4E
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning4D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration1E
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nursing and Physician Services1D
- D
Observe each nurse aide's job performance and give regular training.
Inspection history
2026-07-09
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-07-30
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2024-08-15
14 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 15 min of nursing staff time a day, 1 h 15 min of it from a registered nurse.
This home
4 h 15 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 18% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 3.5 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts better | 98.8% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 0.7% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts worse | 12.6% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 4.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.8 pts better | 7.9% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts worse | 12.8% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better | 7.0% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts better | 5.6% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts worse | 13.6% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts better | 1.4% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better | 99.5% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit14.1 pts worse | 25.2% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 97.2% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts worse | 24.1% | 22.6% | 23.4% |
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Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Awcs, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Aspen Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Awcs, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Awcs, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bradshaw, Jeffrey | Adp Of The SNF · Individual | 0% | 34 facilities |
| Bradshaw, Peter | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Brady, Vern | Adp Of The SNF · Individual | 0% | 32 facilities |
| Case, Ryan | Adp Of The SNF · Individual | 0% | 31 facilities |
| Clark, Patricia | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Clark, Patricia | Adp Of The SNF · Individual | 0% | 2 facilities |
| East West Bank | Adp Of The SNF · Organization | 0% | 23 facilities |
| Jurado, Frank | Adp Of The SNF · Individual | 0% | 31 facilities |
| Kirkwood, Jared | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Orgill, Craig | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Parti, Rajesh | Indirect Ownership Interest · Individual | 0% | 30 facilities |
| Paxman, Marcus | Indirect Ownership Interest · Individual | 0% | 32 facilities |
| Paxman, Marcus | Adp Of The SNF · Individual | 0% | 32 facilities |
| Rawe, Colton | Corporate Officer · Individual | 0% | 18 facilities |
| Rawe, Colton | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Rawe, Colton | Adp Of The SNF · Individual | 0% | 18 facilities |
| Sequoia Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Wells Fargo Bank, National Association | Adp Of The SNF · Organization | 0% | 13 facilities |
| Xiong, Glen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Xiong, Glen | Adp Of The SNF · Individual | 0% | 3 facilities |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness5F
- F
Conduct testing and exercise requirements.
- C
Develop Emergency Preparedness policies and procedures.
- C
Develop a communication plan.
- C
Establish emergency prep training and testing.
- C
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- D
Meet requirements for the use of electrical equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Construction1F
- F
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
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