B

COLLEGE OAK NURSING & REHABILITATION CENTER

4635 COLLEGE OAK DRIVE, SACRAMENTO, CA 95841
Score: 74 / 100

College Oak Nursing & Rehabilitation Center earns a solid B grade from CMS data, with a score of 74/100. Performing above average across most metrics, this Sacramento facility ranks in the 69th percentile among California nursing homes.

College Oak Nursing & Rehabilitation Center provides above-average staffing with 4.53 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent CMS inspections identified 24 deficiencies at College Oak Nursing & Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.53 3.8 Above Average
Registered Nurses (RN) 0.58 0.7 Below Average
Licensed Practical Nurses (LPN) 1.28 0.7 Above Average
Certified Nursing Assistants (CNA) 2.67 2.4 Above Average
Weekend Total Nursing 4.15 3.8 Average
Weekend RN Hours 0.45 0.7 Below Average

🔍 Inspection & Deficiency History

24
Total Deficiencies
Nov 19, 2025
Most Recent Inspection
🟠 23 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0627 Severity J
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    Nov 19, 2025 · Resident Rights Deficiencies
  • Tag 0628 Severity D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Nov 19, 2025 · Resident Rights Deficiencies
  • Tag 0755 Severity E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Feb 6, 2025 · Pharmacy Service Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Feb 6, 2025 · Pharmacy Service Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Feb 6, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.6% 4.5% Better
Falls with major injury 3.0% 3.0% Average
On antipsychotic medication 4.2% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 10.0% 14.0% Better
Excessive weight loss 3.4% 7.5% Better
New/worsened incontinence 13.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $14,020

How This Grade Was Calculated

This facility's grade of B is based on a score of 74 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 6, 2025
Deficiencies (Cycle 1)
11