College Oak Nursing & Rehab

Pros

• The care at College Oak Rehab & Nursing Home is described as more than acceptable, with round-the-clock support from competent nurses and therapy teams.
• The reviewer would definitely recommend College Oak Rehab & Nursing Home to others for great care.
• The staff are welcoming, the atmosphere is positive, and the care is excellent.
• It is considered one of the best nursing facilities in the area.
• The nurse and physical therapy ratio is high, ensuring residents never feel unattended.
• The building and rooms are very clean, and the food is good.
• Two staff members named Grace are described as guardian angels for their care.
• Adriana in the kitchen is friendly and attentive.
• The management team is excellent, with caring staff and attentive coordination of care.

Cons

• The administration is described as terrible, with clothes being lost, misplaced, or even given away to other patients and long delays in compensation.
• Clothing and personal belongings are routinely mixed up or lost, causing ongoing frustration for families.
• Communication about care is inconsistent, and changes in orders aren't documented, leaving families without clear answers.
• Bed rails were refused, with a claim that using them would restrain patients, which is viewed as unsafe and inappropriate.
• A nurse reportedly prepared to give insulin to a patient who was not diabetic, indicating dangerous medication errors.
• Night staff were unaware of changed orders, leading to conflicting information and unsafe care.
• The environment is described as unsafe or unsanitary, including reports of fights in the hallway, residents sitting in hallways, a urine trail, and strong odors.
• Care surrounding a loved one's death is criticized as insensitive and poorly coordinated, including miscommunication about funeral arrangements and belongings.
• Several reviewers characterize the facility as inept and warn others to avoid it, citing poor business practices and accountability.

Review

The collection of experiences at College Oak Nursing & Rehab presents a wide spectrum of care, from deeply compassionate, attentive service to troubling administrative and safety concerns. Several reviewers describe round-the-clock attention from certified nursing assistants, licensed nurses, and a range of therapists, with caregivers who seem genuinely dedicated to their residents. In these accounts, families note clean facilities, friendly and personable staff, and moments when the care teams go above and beyond to support recovery, comfort, and daily needs. For some, the kindness and professionalism of the care staff - especially the CNAs, nurses, and therapy teams - made a significant difference during difficult recoveries, including post-surgical rehab and long stays.

On the positive side, multiple reviews highlight specific, uplifting experiences. One guest was in the facility for nearly a month after knee replacement surgery and recalls the CNA staff as "awesome," with the nursing team and physical and occupational therapy delivering high-quality, hands-on care. The patient felt well-supported, never unattended, and appreciated the cleanliness of the building and rooms, as well as the quality of the meals. The ability to recommend the center to family and friends stands out as a strong endorsement. In another account, the grandmother's experience is described as excellent, with bilingual staff helping a non-English-speaking family, and a particular kitchen staff member named Adriana noted for friendliness and attentiveness. Overall, the impression in several positive reviews is that College Oak can be an excellent environment when the caregiving staff are engaged and well-coordinated.

There are also endorsements of management and staffing competence. One reviewer commends an "excellent" management team alongside a nursing staff that genuinely cares for residents, describing care that feels loving and honorable and expressing a willingness to recommend the facility. A separate perspective emphasizes a well-run facility where the caregivers are kind, knowledgeable, and professional, and where the nurse-to-therapist ratio supports residents so they never feel neglected. In such narratives, the consistent thread is that when communication lines are clear, and frontline staff are supported and present, the quality of care can be very good and highly recommended.

Yet, not all experiences align with these positive impressions. A significant portion of reviews focuses on administrative shortcomings and operational problems that undermine resident well-being. Families report clothes being washed, misplaced, or even given away to other patients, with ongoing delays and back-and-forth attempts at compensation that stretch for months. Frustration grows from repeated delays and a sense that administration is not listening or acting with a sense of urgency, leaving families feeling ignored and frustrated. The criticisms extend to outpatient and in-hospital coordination, where leadership appears slow to resolve issues or communicate updates, prompting strong caution about the overall business practices and urging potential visitors to proceed with extreme vigilance.

Safety and medical-precision concerns appear in several accounts. One review recounts a troubling incident where a resident who was not diabetic received insulin, accompanied by inconsistent documentation and communication gaps between daytime and night staff. The family describes repeated assurances that changes were made, but the documentation did not reflect those changes, leaving the family worried about who was receiving and administering medications. Other points of contention include resistance to basic safety measures - such as bed rails - based on misapplied legal interpretations, and questions about why certain orders were not accurately documented or communicated across care teams. These anecdotes paint a picture of a system where critical information may not transfer smoothly between shifts or departments, risking patient safety and eroding trust.

Environment and experiences beyond medical care add to the mixed picture. One account characterizes the facility as unsettling and poorly maintained, with reports of long delays for basic care tasks, screams or disturbances in the hallways, and a pervasive odor. A reviewer who had to arrange for a loved one's belongings after death recounts a highly stressful, disorganized process filled with miscommunication, misplaced items, and a sense that staff were not prepared to handle sensitive transitions gracefully. While other reviews acknowledge clean facilities and good patient care, these negative stories about atmosphere, safety, and operational efficiency stand out as widely felt concerns that require attention from administration.

Despite the varied experiences, a practical takeaway emerges for families navigating this facility: the care delivery can be strong when you are actively engaged with staff, maintain clear, itemized records of belongings, and insist on consistent communication. Several reviewers emphasize that the care providers themselves - CNAs, nurses, and therapists - are the heart of the facility and deserve support and proactive involvement from families. The onus often falls on families to build rapport with the care team, to visit regularly, and to remain vigilant about care plans, medication administration, and discharge or transfer details. In short, College Oak can be a place of genuine, compassionate care, but its success for any individual resident appears to hinge on robust family involvement, clear documentation, and timely problem resolution by an administration that partners effectively with frontline staff.

This part of Sacramento, California, offers a variety of dining options such as Chick-Fil-A, In-N-Out Burger, and Pho Fresh within close proximity. There are also multiple pharmacies including CVS Pharmacy and Rite Aid for convenient access to medications and healthcare products. The area features several hospitals like Walnut Whitney and San Juan Surgery Center for medical care. Residents can enjoy the outdoors at nearby parks like Carmichael Park and Effie Yeaw Nature Center. Additionally, there are cafes like Starbucks and Dutch Bros Coffee for socializing and relaxation. Places of worship such as Slavic SDA Church and Crossroads Christian Fellowship Wesleyan Church provide spiritual support. Overall, this neighborhood offers a mix of amenities for seniors looking to live in a vibrant community with easy access to essential services.

Restaurants

• Chick-Fil-A (0.8 miles)
• In-N-Out Burger (0.8 miles)
• Taco Bell (1.1 miles)
• McDonald's (3.1 miles)
• McDonald's (3.4 miles)
• Green Burrito (4.1 miles)
• Pho Fresh (4.2 miles)

Pharmacies

• Save Mart Supermarkets (1.4 miles)
• Rite Aid (1.6 miles)
• CVS Pharmacy (2.2 miles)
• Rite Aid (2.3 miles)
• CVS Pharmacy (2.6 miles)
• Walgreens (2.6 miles)
• CVS Pharmacy (2.6 miles)

Hospitals

• Walnut Whitney (1.4 miles)
• San Juan Surgery Center (2.6 miles)
• Greater Sacramento Surgery Center (3.6 miles)
• Sacramento VA Medical Center (6.1 miles)

Parks

• Mission North Park (1.6 miles)
• Carmichael Park (1.8 miles)
• Ancil Hoffman Park (2.6 miles)
• Freedom Park (2.7 miles)
• Effie Yeaw Nature Center (3.1 miles)
• William B Pond Recreation Area (4.1 miles)
• Sacramento Bar (4.4 miles)

Cafes

• Starbucks (2.1 miles)
• Starbucks (2.6 miles)
• Dutch Bros Coffee (2.8 miles)
• Dutch Bros Coffee (3.4 miles)
• Starbucks (4.4 miles)
• Starbucks (5 miles)
• Starbucks (5.1 miles)

Places of Worship

• Slavic SDA Church (2.2 miles)
• SDA Ukrainian Church (2.5 miles)
• Crossroads Christian Fellowship Wesleyan Church (2.5 miles)
• St Mel's Catholic Church (4.2 miles)

Theaters

• Century Theatre (2.3 miles)
• Country Club Cinema (3.3 miles)

Physicians

• Mercy San Juan Hospital (2.5 miles)
• Alocozy, M Nadir MD: M Nadir Alocozy, MD (3.5 miles)
• UC Davis Medical Group (3.6 miles)
• EYEcenter Optometric (4.9 miles)
• Dr. Randolph Brown (5 miles)
• Eye Designs Optometry - Arden (5.3 miles)
• Griffin & Reed Eye Care (5.7 miles)