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Medicare-certifiedSkilled Nursing

College Oak Nursing and Rehabilitation Center

Sacramento, CaliforniaMedicare inspection record
(916) 481-7434

About College Oak Nursing and Rehabilitation Center

College Oak Nursing and Rehabilitation Center brings together experienced clinical care and genuine compassion in Sacramento, California. Our skilled nursing and rehabilitation program helps patients regain strength and independence through personalized treatment plans, medical expertise, and attentive support every step of recovery.

Community at a glance

Capacity

120 residents

Location

Sacramento, CA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

4635 College Oak Drive, Sacramento, California 95841

(916) 481-7434

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on April 9, 2026, state inspectors cited 8 health deficiencies (the California average is 15.5).

Nurses and nurse aides spend 4 hours 20 minutes with each resident a day, about the same as the California average.

Medicare fined College Oak Nursing and Rehabilitation Center once in the last three years, $9,814 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 20 minutes
Registered nurse time per resident, per day48 minutesAbove the California average
Nursing staff who left in the past year40%Above the California average

Inspections

24 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 29, 2026 · Complaint investigation · 1 citation

  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 10, 2026

April 9, 2026 · Standard inspection · 5 citations

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 24, 2026
  • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 24, 2026
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 24, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 24, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 24, 2026
November 20, 2025 · Complaint investigation · 2 citations+
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Nov 25, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 25, 2025
February 7, 2025 · Standard inspection · 10 citations+
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 28, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 28, 2025
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 28, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 28, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 28, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 28, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 28, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 28, 2025
  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 28, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 28, 2025
October 24, 2024 · Complaint investigation · 1 citation+
  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Nov 4, 2024
August 6, 2024 · Complaint investigation · 1 citation+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 10, 2024
February 9, 2024 · Standard inspection · 4 citations+
  • Assist a resident in gaining access to vision and hearing services.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Feb 23, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 23, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 23, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 23, 2024

Fines and payment denials

1 fine totaling $9,814 in the last three years.

  • November 20, 2025Fine: $9,814

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Spyglass, LLC
Medicare-certified beds
120
Average residents per day
115
Accepts
Medicare and Medicaid
First certified
February 16, 1970
Part of a chain
Cypress Healthcare Group, 13 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
056158

Location

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4635 College Oak DriveSacramento, CA 95841

12 other communities within 10 miles

Senior living near Sacramento

Questions about College Oak Nursing and Rehabilitation Center

How did College Oak Nursing and Rehabilitation Center do on its last inspection?+

State inspectors visited on April 9, 2026 and cited 8 health deficiencies, 3 of them from complaint investigations. The California average is 15.5.

How much nursing care does each resident get at College Oak Nursing and Rehabilitation Center?+

Nurses and aides spend 4 hours 20 minutes with each resident per day, including 48 minutes from registered nurses. 40% of nursing staff left over the past year.

Has College Oak Nursing and Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined College Oak Nursing and Rehabilitation Center once in the last three years, totaling $9,814.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Sacramento Skilled Nursing in California Skilled Nursing guide Information last updated October 2026