Nursing homes › California › College Oak Nursing and Rehabilitation Center
4635 College Oak Drive, Sacramento, CA 95841 · 9164817434 · 120 certified beds
Per CMS filings, this facility is affiliated with Cypress Healthcare Group, a group operating 13 facilities in 1 states. Group record: average rating 3.8/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $33,690 in federal fines. This facility rates below its group average (3.8/5).
Total nurse staffing: 4.33 (California median: 4.24). RN hours: 0.81. Weekend total: 3.92. Nursing staff turnover: 40%.
All-time on record: 25 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-29 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-06-10 |
| 2026-04-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-04-24 |
| 2026-04-09 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Health | corrected 2026-04-24 |
| 2026-04-09 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2026-04-24 |
| 2026-04-09 | 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. | D | Health | corrected 2026-04-24 |
| 2026-04-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-04-24 |
| 2025-11-20 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | complaint | corrected 2025-11-25 |
| 2025-11-20 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-11-25 |
| 2025-02-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-02-28 |
| 2025-02-07 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-02-28 |
| 2025-02-07 | 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. | E | Health | corrected 2025-02-28 |
| 2025-02-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-02-28 |
| 2025-02-07 | Dispose of garbage and refuse properly. | E | Health | corrected 2025-02-28 |
| 2025-02-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-02-28 |
| 2025-02-07 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-02-28 |
| 2025-02-07 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2025-02-28 |
| 2025-02-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-02-28 |
| 2025-02-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-02-28 |
| 2024-10-24 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | complaint | corrected 2024-11-04 |
| 2024-08-06 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-09-10 |
| 2024-02-09 | Assist a resident in gaining access to vision and hearing services. | G | Health | corrected 2024-02-23 |
| 2024-02-09 | Provide activities to meet all resident's needs. | D | Health | corrected 2024-02-23 |
| 2024-02-09 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-02-23 |
| 2024-02-09 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-02-23 |
| 2023-10-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-10-20 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-20 | Fine | $9,814 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| JACKSON, MATTHEW | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2019 |
| JACKSON, ROBERT | Corporate Officer | Individual | NOT APPLICABLE | since 03/20/2019 |
| SANOFSKY, JACK | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2019 |
| BORJA, JEAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/21/2019 |
| GREEN-RASTEKHIZ, EMILEE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/14/2023 |
| HADRICK, STEPHANY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/05/2024 |
| JACKSON, MATTHEW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2019 |
| JACKSON, ROBERT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2019 |
| KHAN, ALZEENA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/29/2024 |
| MCCONNELL, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/20/2023 |
| ROLDAN, MARY ROSE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/18/2020 |
| SANDHU, HARKESH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/19/2019 |
| SANOFSKY, JACK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2019 |
| SINGH, SHALINI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/13/2022 |
| WATKINS, MICHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/28/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056158. Corrections: data@carerecords.org.