Facility profile · CCN 056158
College Oak Nursing & Rehabilitation Center
24 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $14,020.
Record summary
Federal record · Q1 202624
Total citations
19
Last 3 years
2
Actual harm+
1
Federal penalties
$14,020
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
24 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 20, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Nov 20, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | Complaint |
| Feb 7, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 7, 2025 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Feb 7, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 7, 2025 | F761 | 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. | E | Standard |
| Feb 7, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Feb 7, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Feb 7, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Feb 7, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 7, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Feb 7, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Oct 24, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint |
| Aug 6, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Feb 9, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 9, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 9, 2024 | F685 | Assist a resident in gaining access to vision and hearing services. | G | Standard |
| Feb 9, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Oct 5, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 13, 2021 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 13, 2021 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 13, 2021 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| May 13, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| May 13, 2021 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $14,020 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 20, 2025 | Fine | $14,020 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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