COLLEGE OAK NURSING & REHABILITATION CENTER
4635 COLLEGE OAK DRIVE, SACRAMENTO, CA 95841 · CCN 056158
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 109.9
- Phone
- 9164817434
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-07 | 12 | 15.6 | 9.5 | -3.6 better |
| 2 | 2024-02-09 | 6 | 17.4 | 9.8 | -11.4 better |
| 3 | 2021-05-13 | 6 | 17.1 | 9.3 | -11.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 3 |
| Resident rights | 3 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.53 | 45.7% |
| RN staffing (reported) | 0.58 | 54.5% |
| Total nurse staffing (adjusted) | 4.38 | — |
Fines & penalties
- Total fines
- $14,020
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- CYPRESS HEALTHCARE GROUP
- Facilities in chain
- 13
- Chain avg overall
- 3.50 / 5
Inspection citations (24)1 immediate jeopardy1 actual harm
- JF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-11-20 · Health · corrected 2025-11-25
Immediate jeopardy
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-11-20 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0761Ensure 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.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-07 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-10-24 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-06 · Health · corrected 2024-09-10
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-02-09 · Health · corrected 2024-02-23
Potential for more than minimal harm
- GF0685Assist a resident in gaining access to vision and hearing services.2024-02-09 · Health · corrected 2024-02-23
Actual harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-02-09 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-09 · Health · corrected 2024-02-23
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-05 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2021-05-13 · Health · corrected 2021-06-10
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-05-13 · Health · corrected 2021-06-10
Potential for more than minimal harm
- DF0758Implement 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.2021-05-13 · Health · corrected 2021-06-10
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2021-05-13 · Health · corrected 2021-06-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2021-05-13 · Health · corrected 2021-06-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CYPRESS HEALTHCARE GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-03-20 |
| JACKSON, MATTHEW | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2019-03-20 |
| JACKSON, ROBERT | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2019-03-20 |
| SANOFSKY, JACK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2019-03-20 |
| JACKSON, MATTHEW | Individual | CORPORATE DIRECTOR | — | 2019-03-20 |
| JACKSON, ROBERT | Individual | CORPORATE DIRECTOR | — | 2019-03-20 |
| SANOFSKY, JACK | Individual | CORPORATE DIRECTOR | — | 2019-03-20 |
| KAPLOW, TRINA | Individual | W-2 MANAGING EMPLOYEE | — | 2019-03-20 |
Other facilities in SACRAMENTO
| Name | Overall | Beds |
|---|---|---|
| CITY CREEK POST ACUTE | ★★★★★ | 99 |
| UNIVERSITY POST-ACUTE REHAB | ★★★★★ | 59 |
| SHERWOOD HEALTHCARE CENTER | ★★★★★ | 62 |
| SACRAMENTO POST-ACUTE | ★★★★★ | 99 |
| BRUCEVILLE TERRACE - D/P SNF OF METHODIST HOSPITAL | ★★★★★ | 171 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.