College Oak Nursing and Rehabilitation Center

4635 College Oak Drive · Sacramento, CA · 95841 · 9164817434

120 certified beds For profit - Limited Liability company Chain: Cypress Healthcare Group

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Staffing hours comfortably above national benchmarks.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 64
Staffing 20% 83
Federal penalties 15% 74
Trend 10% 55
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day4.453.48 min · 4.1 strong
RN hours / resident-day0.760.55–0.75
Weekend hours / resident-day3.99≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)1 · $14,020

Inspection citations (24 in the current record)

  • Potential for harm · D April 9, 2026

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected April 24, 2026 · Resident Rights

  • Potential for harm · D April 9, 2026

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

    Corrected April 24, 2026 · Quality of Life and Care

  • Potential for harm · D April 9, 2026

    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 April 24, 2026 · Pharmacy Service

  • Potential for harm · F April 9, 2026

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

    Corrected April 24, 2026 · Nutrition and Dietary

  • Potential for harm · D April 9, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 24, 2026 · Resident Assessment and Care Planning

  • Immediate jeopardy · J November 20, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected November 25, 2025 · Resident Rights

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected November 25, 2025 · Resident Rights

  • Potential for harm · D February 7, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 28, 2025 · Resident Rights

  • Potential for harm · D February 7, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2025

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

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2025

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

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 7, 2025

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

    Corrected February 28, 2025 · Pharmacy Service

  • Potential for harm · E February 7, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 28, 2025 · Pharmacy Service

  • Potential for harm · E February 7, 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 February 28, 2025 · Pharmacy Service

  • Potential for harm · E February 7, 2025

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

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · E February 7, 2025

    Dispose of garbage and refuse properly.

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · E February 7, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 28, 2025 · Infection Control

  • Potential for harm · D October 24, 2024 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected November 4, 2024 · Nutrition and Dietary

  • Potential for harm · D August 6, 2024 · found via complaint

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

    Corrected September 10, 2024 · Resident Assessment and Care Planning

  • Actual harm · G February 9, 2024

    Assist a resident in gaining access to vision and hearing services.

    Corrected February 23, 2024 · Quality of Life and Care

  • Potential for harm · D February 9, 2024

    Provide activities to meet all resident's needs.

    Corrected February 23, 2024 · Quality of Life and Care

  • Potential for harm · D February 9, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 23, 2024 · Pharmacy Service

  • Potential for harm · D February 9, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 23, 2024 · Infection Control

  • Potential for harm · D October 5, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 20, 2023 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
November 20, 2025Fine$14,020

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056158 · certified since February 16, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.