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Data / Nursing homes / California / College Oak Nursing and Rehabilitation Center

College Oak Nursing and Rehabilitation Center, Sacramento, CA: 4 star rating, fined $9,814 across 1 fine

College Oak Nursing and Rehabilitation Center in Sacramento, CA is run by Spyglass, LLC, with no owner listed in the CMS ownership file, is rated 4 of 5 stars by Medicare, and was fined $9,814 across 1 fine in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on August 12, 2026, and 2 of them found actual harm or immediate jeopardy.

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Address
4635 College Oak Drive, Sacramento, CA 95841
Overall rating
4 of 5 stars
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measure rating
5 of 5
Certified beds
120
Residents per day
113 on average
Ownership type
For profit, limited liability company
Legal business name
Spyglass, LLC
Chain
Cypress Healthcare Group, 13 facilities
Fines
$9,814 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
26, of which 2 with actual harm or immediate jeopardy
Latest survey
August 12, 2026
CMS Certification Number
056158
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 20, 2025Fine$9,814Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 12, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionAugust 28, 2026data.cms.gov
May 29, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 10, 2026data.cms.gov
April 9, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 9, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 9, 2026F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 9, 2026F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
April 9, 2026F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 24, 2026data.cms.gov
November 20, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.J: isolated, immediate jeopardyCorrectedNovember 25, 2025data.cms.gov
November 20, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 25, 2025data.cms.gov
February 7, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F814Dispose of garbage and refuse properly.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
February 7, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
October 24, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 4, 2024data.cms.gov
August 6, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2024data.cms.gov
February 9, 2024F685Assist a resident in gaining access to vision and hearing services.G: isolated, actual harmCorrectedFebruary 23, 2024data.cms.gov
February 9, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
February 9, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
February 9, 2024F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 23, 2024data.cms.gov
October 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 20, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 24 individual or personal trusts (12 managers, 3 officers, directors or trustees, 9 other disclosable parties). Their names are not shown on this page.

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.