College Oak Nursing & Rehabilitation Center
College Oak Nursing & Rehabilitation Center is a 4-star rated nursing home in Sacramento, CA with 120 beds. CMS sub-ratings: health inspections 4/5, staffing 4/5, quality measures 4/5.
The facility has 31 health violations on record. Most recent inspection: February 7, 2025.
Data synthesized from CMS.gov and California public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.
Our Coverage of College Oak Nursing & Rehabilitation Center
Inspection History Overview
Data current as of May 6, 2026 · Source: CMS Provider Data
Detailed Inspection Reports
Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.
Fines and Penalties by Year
Health Violations by Year
2025 10 violations
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.
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.
2024 5 violations
Ensure services provided by the nursing facility meet professional standards of quality.
Provide activities to meet all resident's needs.
Assist a resident in gaining access to vision and hearing services.
Ensure medication error rates are not 5 percent or greater.
Provide and implement an infection prevention and control program.
2023 1 violations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2022 2 violations
Make sure that a working call system is available in each resident's bathroom and bathing area.
Ensure staff are vaccinated for COVID-19
2021 5 violations
Honor 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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Implement 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.
Ensure medication error rates are not 5 percent or greater.
Provide and implement an infection prevention and control program.
2020 2 violations
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2019 2 violations
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Provide and implement an infection prevention and control program.
2018 2 violations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
2017 2 violations
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
Frequently Asked Questions About College Oak Nursing & Rehabilitation Center
- What violations has College Oak Nursing & Rehabilitation Center received?
- College Oak Nursing & Rehabilitation Center has 31 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
- What is the quality rating of College Oak Nursing & Rehabilitation Center?
- College Oak Nursing & Rehabilitation Center has a 4-star rating out of 5 from CMS. This is an above-average rating, indicating better quality care compared to most nursing homes. The rating is based on health inspections, staffing levels, and quality measures.
- When was College Oak Nursing & Rehabilitation Center last inspected?
- Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
- Is College Oak Nursing & Rehabilitation Center safe?
- Safety at College Oak Nursing & Rehabilitation Center should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
- How do I contact College Oak Nursing & Rehabilitation Center?
- Phone: (916) 481-7434. Address: 4635 College Oak Drive, Sacramento, CA. For visiting hours and admission information, call the facility directly.
- What services does College Oak Nursing & Rehabilitation Center offer?
- College Oak Nursing & Rehabilitation Center is a skilled nursing facility with 120 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
- What are better facilities near Sacramento, CA?
- Compare College Oak Nursing & Rehabilitation Center with other nursing homes in Sacramento, CA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.
Compare Nursing Homes in Sacramento, CA
| Facility | Rating | Violations | Beds |
|---|---|---|---|
| College Oak Nursing & Rehabilitation Center (this facility) | ★★★★☆ | 31 | 120 |
| City Creek Post Acute | ★★★★★ | 95 | 99 |
| College Oak Nursing & Rehabilitation Center | ★★★★★ | 0 | 120 |
| Mid-town Oaks Post-acute | ★★★★★ | 0 | 100 |
| Sacramento Post-acute | ★★★★★ | 48 | 99 |
| Saylor Lane Healthcare Center | ★★★★★ | 0 | 42 |
| Sherwood Healthcare Center | ★★★★★ | 58 | 62 |
Editorial Standards & Data Oversight
Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.
Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.
Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.
This page is maintained by NursingHomeNews.org and is not affiliated with College Oak Nursing & Rehabilitation Center.