College Oak Nursing and Rehabilitation Center
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-11-20 — IMMEDIATE JEOPARDY (tag F0627, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
2024-02-09 — ACTUAL HARM (tag F0685, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Assist a resident in gaining access to vision and hearing services.
Staffing, from payroll records
Nursing hours / resident / day
4.00
state median 3.94
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.62
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
40%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $9,814 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-11-20 | Fine | $9,814 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the CYPRESS HEALTHCARE GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- SHERWOOD HEALTHCARE CENTER (SACRAMENTO, CA) —
- SAYLOR LANE HEALTHCARE CENTER (SACRAMENTO, CA) —
- Oak Ridge Healthcare Center (Roseville, CA) —
- Grass Valley Healthcare Center (Grass Valley, CA) —
- Manzanita Healthcare Center (Carmichael, CA) —
- Greenhaven Healthcare Center (Sacramento, CA) —
- Fair Oaks Healthcare Center (Fair Oaks, CA) —
- Gold Country Health Center (Placerville, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-29 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-09 | F0559 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-09 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-09 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-04-09 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-04-09 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-11-20 | F0627 | Resident Rights Deficiencies | J | not recorded |
| 2025-11-20 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-07 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-07 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-07 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-07 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-07 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-07 | F0814 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-07 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-10-24 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-08-06 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-09 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-09 | F0685 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-09 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-02-09 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-10-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |