Nursing home
College Oak Nursing & Rehabilitation Center
4635 College Oak Drive, Sacramento, CA 95841 · Map
For profit - Limited Liability company · Part of Cypress Healthcare Group (13 facilities) · 120 certified beds
College Oak Nursing & Rehabilitation Center is a Medicare-certified nursing home in Sacramento, California. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.53 hours per resident per day, above the California average of 4.51. Its most recent inspection on Feb 7, 2025 cited 11 deficiencies.
- 1 fine totaling $14,020In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How College Oak Nursing & Rehabilitation Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.53 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.58 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.67 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 45.7% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 11.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $14,020, 1 total penalty.
What inspectors found at College Oak Nursing & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 7, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Feb 7, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
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 · Feb 7, 2025 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Feb 7, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Feb 7, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4635 College Oak Drive
Sacramento, CA 95841 - CMS certification #
- 056158
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 109.9
- Provider type
- Medicare and Medicaid
- First certified
- 1970-02-16
- Chain
- Cypress Healthcare Group (13 facilities)
- Setting
- Urban
Part of Cypress Healthcare Group
Cypress Healthcare Group operates 13 nursing facilities across the United States. View all Cypress Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around College Oak Nursing & Rehabilitation Center using Google Maps.
Other public records
- Website says Works with hospice
- Kitchen 4 inspections by Sacramento County Environmental Management Department since 2024; latest PASS (September 2026)
Full public records, with dates and sources
Kitchen inspections
The local health department inspects the kitchen that serves residents. Results are in the agency's own words.
Sacramento County Environmental Management Department: College Oak Nursing & Rehab-lhcf
- Sep 14, 2026 (routine): PASS. Report
1 violation
- HOT AND COLD HOLDING TEMPERATURES
- Aug 15, 2025 (routine): IN COMPLIANCE. No violations listed. Report
- Aug 15, 2025 (routine): PASS. Report
1 violation
- HOT AND COLD HOLDING TEMPERATURES [Corrected at time of Inspection]
- Jul 22, 2024 (routine): PASS. Report
1 violation
- HOT AND COLD HOLDING TEMPERATURES [Corrected at time of Inspection]
Source: the agency's records, inspections since Oct 16, 2023, as of Oct 15, 2026. Pass (green): No major violations, or they were corrected during the inspection. Conditional Pass (yellow): Major violations found; a follow-up inspection is required. Closed (red): Closed for an imminent health hazard.
Care and services
From the community’s website
What College Oak Nursing & Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Inpatient Hospice
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mercy San Juan Medical Center, Carmichael. 2.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Eskaton Village Care Center, Carmichael. 0.9 miles away, straight line.
- Nearest home health agency office
- Sanctuary Home Health, Sacramento. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 2.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 95841 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Dci Madison Dialysis Clinic, Sacramento, 0.9 miles away, straight line (CMS rating 2 of 5 stars)
Davita Manzanita Dialysis Center, Carmichael, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Davita American River Dialysis, Carmichael, 1.5 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 36 Medicare hospices tell CMS they serve ZIP code 95841.
Sanctuary Hospice, office in Sacramento, 0.7 miles away, straight line
Advanced Home Health And Hospice, Inc, office in Sacramento, 0.7 miles away, straight line
Amari Hospice Care Inc., office in Carmichael, 2.2 miles away, straight line - Nearest geriatric medicine practice
- All Inclusive Medical Services Inc, Carmichael. 1.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire very low, tornado very low, heat wave very low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Sacramento County Environmental Management Department kitchen inspections | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is College Oak Nursing & Rehabilitation Center a good nursing home?
CMS gives College Oak Nursing & Rehabilitation Center an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is College Oak Nursing & Rehabilitation Center staffed?
College Oak Nursing & Rehabilitation Center reports 4.53 total nurse hours per resident per day, compared with the California average of 4.51.
Has College Oak Nursing & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does College Oak Nursing & Rehabilitation Center have?
College Oak Nursing & Rehabilitation Center is certified for 120 beds.