College Oak Nursing and Rehabilitation Center
College Oak Nursing and Rehabilitation Center is a 120-bed nursing home in Sacramento, California. CMS has certified it for Medicare and Medicaid since 1970-02-16. It averages 115.0 residents a day.
What harm was found in the violations cited at College Oak Nursing and Rehabilitation Center?
CMS lists 25 health-inspection deficiencies for College Oak Nursing and Rehabilitation Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-29.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-29 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2026-04-09 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-04-09 | F0559, F0697, F0761, F0842 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-11-20 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J |
| 2025-11-20 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-02-07 | F0755, F0759, F0761, F0812, F0814, F0880 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. | E |
| 2025-02-07 | F0558, F0640, F0656, F0658 | Reasonably accommodate the needs and preferences of each resident. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-10-24 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2024-08-06 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-02-09 | F0685 | Assist a resident in gaining access to vision and hearing services. | G |
| 2024-02-09 | F0679, F0759, F0880 | Provide activities to meet all resident's needs. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | D |
| 2023-10-05 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
Why was College Oak Nursing and Rehabilitation Center fined?
| Date | Type | Amount |
|---|---|---|
| 2025-11-20 | Fine | $9,814 |
How is College Oak Nursing and Rehabilitation Center staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.32719 | 4.51570 |
| Total nursing staff turnover (%) | 40.0 | 36.7 |
| Average number of residents per day | 115.0 | 87.9 |
Who owns College Oak Nursing and Rehabilitation Center, and what chain is it in?
College Oak Nursing and Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name SPYGLASS, LLC and belongs to the CYPRESS HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE OFFICER | JACKSON, MATTHEW, JACKSON, ROBERT, SANOFSKY, JACK | since 03/20/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | BORJA, JEAN, GREEN-RASTEKHIZ, EMILEE, HADRICK, STEPHANY, JACKSON, MATTHEW, JACKSON, ROBERT, KHAN, ALZEENA, MCCONNELL, CHRISTOPHER, ROLDAN, MARY ROSE, SANDHU, HARKESH, SANOFSKY, JACK, SINGH, SHALINI, WATKINS, MICHAEL | since 04/19/2019 |
| ADP OF THE SNF | BORJA, JEAN, GREEN-RASTEKHIZ, EMILEE, HADRICK, STEPHANY, KHAN, ALZEENA, MCCONNELL, CHRISTOPHER, ROLDAN, MARY ROSE, SANDHU, HARKESH, SINGH, SHALINI, WATKINS, MICHAEL | since 04/19/2019 |
Were you or a family member harmed at College Oak Nursing and Rehabilitation Center?