Deficiency timeline
College Oak Nursing And Rehabilitation Center
Dated inspection findings, penalties, and correction notes for this nursing home in Sacramento, CA. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Jun 10, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Apr 24, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 24, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0559: Resident Rights
Resident rights
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected Apr 24, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Apr 24, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Apr 24, 2026
- Fine $9,814cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IImmediate jeopardy (J)Complaint-relatedcms
F0627: Resident Rights
Resident rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected Nov 25, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Nov 25, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0761: Pharmacy Service
Pharmacy services
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.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0640: Resident Assessment and Care Planning
Assessment & care planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0806: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Nov 4, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Sep 10, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Feb 23, 2024
- Class IIActual harm (G)cms
F0685: Quality of Life and Care
Quality of life & care
Assist a resident in gaining access to vision and hearing services.
Corrected Feb 23, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 20, 2023
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile