College Oak Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 4635 College Oak Drive, Sacramento, CA 95841
- CCN
- 056158
- Ownership type
- For-profit, limited liability company
- Certified beds
- 120
- Residents per day
- 115
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives College Oak Nursing and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 9 Apr 2026. The latest survey cycle has 8 health citations. The median for nursing homes in California is 14. CMS lists 1 fine of $9,814 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in California (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sacramento County median | California median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 37 homes in the county, 1,165 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | California median |
|---|---|---|---|
| Cycle 1 (latest) | 9 Apr 2026 | 8 | 14 |
| Cycle 2 | 7 Feb 2025 | 12 | 14 |
| Cycle 3 | No date | 5 | 15 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 10 Jun 2026 |
| 9 Apr 2026 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 24 Apr 2026 |
| 9 Apr 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 24 Apr 2026 |
| 9 Apr 2026 | F0761 | 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 | Standard survey | 24 Apr 2026 |
| 9 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Apr 2026 |
| 9 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 24 Apr 2026 |
| 20 Nov 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | Complaint investigation | 25 Nov 2025 |
| 20 Nov 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 25 Nov 2025 |
Survey cycle 2: 12 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Feb 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0761 | 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 | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 28 Feb 2025 |
| 7 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Feb 2025 |
| 24 Oct 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 4 Nov 2024 |
| 6 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Sep 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Feb 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 23 Feb 2024 |
| 9 Feb 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | G | Standard survey | 23 Feb 2024 |
| 9 Feb 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 23 Feb 2024 |
| 9 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Feb 2024 |
| 5 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 20 Nov 2025 | Fine | $9,814 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | California median | California average (CMS) |
|---|---|---|---|
| All nurse staff | 4.33 | 4.20 | 4.52 |
| Registered nurses (RN) | 0.81 | 0.50 | 0.67 |
| Licensed practical nurses (LPN) | 0.97 | 1.20 | |
| Nurse aides | 2.55 | 2.65 | |
| All nurse staff, weekends | 3.92 | 3.80 | 4.09 |
- Nurse staff turnover in a year
- 40.0%
- Nurse staff turnover, California median
- 36.4%
- RN turnover in a year
- 47.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.9% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.5% | 9.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Spyglass, LLC
- Chain
- Cypress Healthcare Group (13 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Sacramento County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Eskaton Village Care Center | Carmichael | 4 of 5 | 9 | $0 | 20 Mar 2026 | |
| Sacramento Post-Acute | Sacramento | 4 of 5 | 12 | $0 | 20 Feb 2026 | |
| American River Center | Carmichael | 4 of 5 | 7 | $0 | 10 Apr 2026 | |
| Mission Carmichael Healthcare Center | Carmichael | 3 of 5 | 14 | $0 | 22 May 2026 | |
| Whitney Oaks Care Center | Carmichael | 3 of 5 | 22 | $0 | 23 May 2025 | |
| Manzanita Healthcare Center | Carmichael | 5 of 5 | 8 | $0 | 15 Apr 2026 | |
| Mountain Manor Senior Residence | Carmichael | 1 of 5 | 17 | $38,855 | 24 Apr 2025 | |
| River Pointe Post-Acute | Carmichael | 1 of 5 | 21 | $9,870 | 12 Mar 2026 | |
| River City Post Acute | Carmichael | 1 of 5 | 36 | $0 | 6 Mar 2026 | |
| Arden Park Post Acute | Sacramento | 3 of 5 | 13 | $33,586 | 19 Mar 2026 | |
| Citrus Heights Post Acute | Citrus Heights | 4 of 5 | 10 | $0 | 23 Apr 2026 | |
| Gramercy Court | Sacramento | 4 of 5 | 11 | $0 | 5 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of College Oak Nursing and Rehabilitation Center (CCN 056158). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/college-oak-nursing-and-rehabilitation-center-sacramento-ca-056158/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was College Oak Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 29 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 7 Feb 2025.
- Who operates College Oak Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Cypress Healthcare Group. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is College Oak Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in California as Special Focus Facilities and 31 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.