01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-09 | 8 | 2026-04-09 | 6 |
| Cycle 2 | 2025-02-07 | 12 | 2025-02-07 | 5 |
| Cycle 3 | 2024-02-09 | 5 | 2024-02-09 | 3 |
CMS CCN 0561582026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
College Oak Nursing And Rehabilitation Center
4635 College Oak Drive · Sacramento, CA 95841 · Sacramento County
Certified beds120CMS provider file
Recent citation rows39current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
39 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-29 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-06-10 · complaint2026-04-09 · HEALTHF0559Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · FIREK0345Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-04-242025-11-20 · HEALTHF0627Severity J · isolated immediate jeopardy
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint2025-11-20 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint2025-02-07 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0759Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0814Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-02-07 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-2803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-11-20 | Fine | $9,814 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- JACKSON, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2019
- JACKSON, ROBERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/20/2019
- SANOFSKY, JACKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2019
- BORJA, JEANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/21/2019
- GREEN-RASTEKHIZ, EMILEEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/14/2023
- HADRICK, STEPHANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/05/2024
- JACKSON, MATTHEWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/25/2026
- JACKSON, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/25/2026
- KHAN, ALZEENAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/29/2024
- MCCONNELL, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/20/2023
- ROLDAN, MARY ROSEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/18/2020
- SANDHU, HARKESHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/19/2019
- SANOFSKY, JACKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/25/2026
- SINGH, SHALINIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/13/2022
- WATKINS, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/28/2022
- BORJA, JEANIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/21/2019
- GREEN-RASTEKHIZ, EMILEEIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/14/2023
- HADRICK, STEPHANYIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/05/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.33per resident day
RN hours0.81per resident day
Weekend nurse hours3.92per resident day
Staff turnover40.0%CMS reported field
06 / LOCAL RECORDS
Open the Sacramento ledger →Other published facilities nearby
Acc Care Center99 beds · CMS overall 5/564 citation rowsAdvanced Health Care Of Sacramento40 beds · CMS overall 5/539 citation rowsArden Park Post Acute177 beds · CMS overall 3/586 citation rowsAsbury Park Nursing And Rehabilitation Center139 beds · CMS overall 3/585 citation rowsBruceville Terrace - D/P Snf Of Methodist Hospital171 beds · CMS overall 3/554 citation rowsBridgewood Post Acute49 beds · CMS overall 3/5101 citation rowsCapital Post Acute121 beds · CMS overall 2/5113 citation rowsCedarwood Post Acute51 beds · CMS overall 3/577 citation rows