nursing home in Sacramento, CA
College Oak Nursing and Rehabilitation Center
4635 College Oak Drive, Sacramento, CA 95841 · (916) 481-7434
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
College Oak Nursing and Rehabilitation Center at a glance
College Oak Nursing and Rehabilitation Center is a 120-bed for-profit nursing home in Sacramento, California (Sacramento County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.
Residents receive about 4.3 hours of nursing care per day (0.8 of them from registered nurses), close to the state average of 4.5 hours.
Its most recent standard health inspection (April 9, 2026) found 8 health citations. The California average is 15.5.
Federal regulators fined it 1 time in the past three years, totaling $9,814.
Nursing staff turnover is 40% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cypress Healthcare Group
- Medicare-certified since
- February 16, 1970
- Resident/family council
- Resident
- County
- Sacramento County
- CMS Certification Number
- 056158
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.33 hrs | 4.52 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.81 hrs | 0.67 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.55 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.92 hrs | 4.09 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 40% | 36.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 47.4% | 38.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 16 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 86.5 | 105.8 | 80.6 | Worse |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $9,814 | $23,986 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 99 | 107 | |
| Average residents per day | 115 | 88 | 86 | |
| Occupancy | 95.8% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.6% | 1.6% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.4% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.5% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 10.9% | 10.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 18.2% | 9.8% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.6% | 4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.4% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.3% | 10.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 91.3% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87.9% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.3% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 29, 2026 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected June 10, 2026 |
| April 9, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected April 24, 2026 |
| April 9, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 24, 2026 |
| April 9, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected April 24, 2026 |
| April 9, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 24, 2026 |
| April 9, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected April 24, 2026 |
| April 9, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | C No harm, widespread | Corrected April 24, 2026 |
| April 9, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 24, 2026 |
| April 9, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 24, 2026 |
| April 9, 2026 Standard | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected April 24, 2026 |
| April 9, 2026 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected April 24, 2026 |
| April 9, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 24, 2026 |
| November 20, 2025 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | J Immediate jeopardy, isolated | Corrected November 25, 2025 |
| November 20, 2025 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected November 25, 2025 |
| February 7, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected February 21, 2025 |
| February 7, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 7, 2025 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 7, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 7, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 7, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected February 28, 2025 |
| February 7, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected February 28, 2025 |
| February 7, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected February 28, 2025 |
| February 7, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 28, 2025 |
| February 7, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 28, 2025 |
| February 7, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 28, 2025 |
| February 7, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected February 28, 2025 |
| February 7, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected February 28, 2025 |
| February 7, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 28, 2025 |
| February 7, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 28, 2025 |
| October 24, 2024 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected November 4, 2024 |
| August 6, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 10, 2024 |
| February 9, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected February 27, 2024 |
| February 9, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected February 27, 2024 |
| February 9, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 27, 2024 |
| February 9, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | G Actual harm, isolated | Corrected February 23, 2024 |
| February 9, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected February 23, 2024 |
| February 9, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected February 23, 2024 |
| February 9, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 23, 2024 |
| October 5, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $9,814 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 20, 2025 | Fine | $9,814 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BORJA, JEAN Individual | adp of the snf | NOT APPLICABLE | 11/21/2019 |
| GREEN-RASTEKHIZ, EMILEE Individual | adp of the snf | NOT APPLICABLE | 11/14/2023 |
| HADRICK, STEPHANY Individual | adp of the snf | NOT APPLICABLE | 09/05/2024 |
| KHAN, ALZEENA Individual | adp of the snf | NOT APPLICABLE | 09/23/2024 |
| MCCONNELL, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 10/20/2023 |
| ROLDAN, MARY ROSE Individual | adp of the snf | NOT APPLICABLE | 05/18/2020 |
| SANDHU, HARKESH Individual | adp of the snf | NOT APPLICABLE | 04/19/2019 |
| SINGH, SHALINI Individual | adp of the snf | NOT APPLICABLE | 12/13/2022 |
| WATKINS, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 06/28/2022 |
| JACKSON, MATTHEW Individual | corporate officer | NOT APPLICABLE | 04/01/2019 |
| JACKSON, ROBERT Individual | corporate officer | NOT APPLICABLE | 03/20/2019 |
| SANOFSKY, JACK Individual | corporate officer | NOT APPLICABLE | 04/01/2019 |
| BORJA, JEAN Individual | operational/managerial control | NOT APPLICABLE | 11/21/2019 |
| GREEN-RASTEKHIZ, EMILEE Individual | operational/managerial control | NOT APPLICABLE | 11/14/2023 |
| HADRICK, STEPHANY Individual | operational/managerial control | NOT APPLICABLE | 09/05/2024 |
| JACKSON, MATTHEW Individual | operational/managerial control | NOT APPLICABLE | 06/25/2026 |
| JACKSON, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 06/25/2026 |
| KHAN, ALZEENA Individual | operational/managerial control | NOT APPLICABLE | 09/29/2024 |
| MCCONNELL, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 10/20/2023 |
| ROLDAN, MARY ROSE Individual | operational/managerial control | NOT APPLICABLE | 05/18/2020 |
| SANDHU, HARKESH Individual | operational/managerial control | NOT APPLICABLE | 04/19/2019 |
| SANOFSKY, JACK Individual | operational/managerial control | NOT APPLICABLE | 06/25/2026 |
| SINGH, SHALINI Individual | operational/managerial control | NOT APPLICABLE | 12/13/2022 |
| WATKINS, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 06/28/2022 |
Other nursing homes near College Oak Nursing and Rehabilitation Center
Eskaton Village Care Center
3939 Walnut Avenue, Carmichael, CA 95608 · under 1 mi
Non-profit · 35 beds
★★★★★4Above averageSacramento Post-Acute
5255 Hemlock Street, Sacramento, CA 95841 · 1.1 mi
For-profit · 99 beds · Part of Pacs Group
★★★★★4Above averageAmerican River Center
3900 Garfield Avenue, Carmichael, CA 95608 · 1.1 mi
For-profit · 99 beds · Part of Genesis Healthcare
★★★★★4Above averageMission Carmichael Healthcare Center
3630 Mission Avenue, Carmichael, CA 95608 · 1.4 mi
For-profit · 135 beds · Part of David Johnson
★★★★★3AverageWhitney Oaks Care Center
3529 Walnut Avenue, Carmichael, CA 95608 · 1.4 mi
For-profit · 126 beds · Part of Pacs Group
★★★★★3AverageManzanita Healthcare Center
5318 Manzanita Avenue, Carmichael, CA 95608 · 1.4 mi
For-profit · 99 beds · Part of Cypress Healthcare Group
★★★★★5Much above average
Frequently asked questions
What is College Oak Nursing and Rehabilitation Center's rating?
College Oak Nursing and Rehabilitation Center has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did College Oak Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 8 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.
Does College Oak Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns College Oak Nursing and Rehabilitation Center?
It is for profit - limited liability company and part of Cypress Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is College Oak Nursing and Rehabilitation Center and how do I contact it?
College Oak Nursing and Rehabilitation Center is at 4635 College Oak Drive, Sacramento, CA 95841. Phone: (916) 481-7434.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.