Independent research · Occupancy & availability
How full is this provider?
We separate historical occupancy, licensed or reported capacity, and openings that are confirmed today. These are different facts.
Occupancy alone is not a quality rating. An empty bed may be unstaffed or unsuitable for a particular resident. For agencies that deliver care at home, conventional bed occupancy does not apply.
Inspection citations
26 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 12, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| May 29, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| Apr 9, 2026 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Routine |
| Apr 9, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Apr 9, 2026 | D · potential | 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. | Routine |
| Apr 9, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 9, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Nov 20, 2025 | J · harm | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Nov 20, 2025 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Complaint |
| Feb 7, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Feb 7, 2025 | D · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Feb 7, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Feb 7, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Feb 7, 2025 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 7, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 7, 2025 | E · potential | 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. | Routine |
| Feb 7, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 7, 2025 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Feb 7, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 24, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Complaint |
| Aug 6, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Feb 9, 2024 | D · potential | Provide activities to meet all resident's needs. | Routine |
| Feb 9, 2024 | G · harm | Assist a resident in gaining access to vision and hearing services. | Routine |
| Feb 9, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 9, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 5, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
College Oak Nursing and Rehabilitation Center
4635 College Oak Drive, Sacramento, CA 95841 · (916) 481-7434
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056158
- Certified beds
- 120
- Legal owner
- Spyglass, LLC
- Part of
- Cypress Healthcare Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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