Cottonwood Healthcare Center

Name: Cottonwood Healthcare Center
Address: 625 Cottonwood Street, Woodland, CA, 95695, US
Telephone: 5306629193

625 Cottonwood Street, Woodland, CA 95695 · Yolo County · 98 certified beds · avg 90 residents/day · certified since Sep 15, 1969

Part of chain: ASPEN SKILLED HEALTHCARE (35 facilities, chain avg rating 3.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.55

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (40)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 30, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jul 30, 2025	F · Potential for harm, facility-wide	The facility did not keep residents' personal and medical information private and confidential.
Jul 30, 2025	F · Potential for harm, facility-wide	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 30, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 30, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 30, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Feb 20, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Feb 20, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 20, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Dec 30, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Nov 25, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Aug 15, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Aug 15, 2024	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Aug 15, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 15, 2024	E · Potential for harm, repeated	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jul 15, 2021	F · Potential for harm, facility-wide	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 15, 2021	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 15, 2021	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 15, 2021	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 7).

Year	Citations	Worst severity that year
2021	13	F
2024	16	E
2025	10	F
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.55	4.31	3.95	top 26% in California; top 22% in the U.S.
Registered Nurse hours	1.25	0.61	0.69	top 6% in California; top 8% in the U.S.
Weekend total nurse staffing	4.08	3.90	3.50	top 29% in California; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.85	0.51	0.48	top 10% in California; top 10% in the U.S.
Total nursing staff turnover (%)	43.4	36.7	45.8	bottom 29% in California; top 46% in the U.S.
RN turnover (%)	20.0	38.1	42.9	top 19% in California; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.44, RN 1.22, weekend 3.97. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Awcs, LLC	Organization	5% or Greater Direct Ownership Interest	100%	02/26/2024
Bradshaw, Peter	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/26/2024
Kirkwood, Jared	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/26/2024
Orgill, Craig	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/26/2024
Parti, Rajesh	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/26/2024
Paxman, Marcus	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/26/2024
Aspen Healthcare Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2023
Awcs, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/26/2024
Awcs, LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/26/2024
Bradshaw, Jeffrey	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Brady, Vern	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2024
Case, Ryan	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2024
Clark, Patricia	Individual	Operational/Managerial Control	NOT APPLICABLE	11/27/2023
Clark, Patricia	Individual	ADP of the SNF	NOT APPLICABLE	11/27/2023
East West Bank	Organization	ADP of the SNF	NOT APPLICABLE	02/26/2024
Jurado, Frank	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2024
Paxman, Marcus	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2024
Rawe, Colton	Individual	Corporate Officer	NOT APPLICABLE	02/26/2024
Rawe, Colton	Individual	Operational/Managerial Control	NOT APPLICABLE	02/26/2024
Rawe, Colton	Individual	ADP of the SNF	NOT APPLICABLE	02/26/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Grove Post-Acute	0.8 mi	Woodland, CA	★★★★☆	4/5
Woodland Post-Acute	1.1 mi	Woodland, CA	★★☆☆☆	2/5
University Retirement Community at Davis	7.8 mi	Davis, CA	★★★★★	4/5
Courtyard Health Care Center	8.9 mi	Davis, CA	★★★☆☆	2/5	abuse
River Bend Nursing Center	15.1 mi	West Sacramento, CA	★★★☆☆	3/5
Pioneer House	17.0 mi	Sacramento, CA	★★★☆☆	2/5	abuse
Cedarwood Post Acute	17.5 mi	Sacramento, CA	★★★☆☆	3/5
Greenhaven Healthcare Center	17.8 mi	Sacramento, CA	★★★☆☆	2/5	abuse
North Pointe Care Center	18.5 mi	Sacramento, CA	★★☆☆☆	1/5	abuse
Windsor Care Center of Sacramento	18.5 mi	Sacramento, CA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Woodland →

Facility data as of CMS processing date 2026-08-01. CCN 056098.

The Care File

Visit checklist — Cottonwood Healthcare Center

625 Cottonwood Street, Woodland, CA 95695 · 5306629193

Health inspection rating 3/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056098 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)