COLLEGE OAK NURSING & REHABILITATION CENTER
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Penalty
$14,020
Outcome
COLLEGE OAK NURSING & REHABILITATION CENTER in SACRAMENTO, CA was fined $14,020 by CMS following 24 deficiency citations identified during federal surveys.
Details
COLLEGE OAK NURSING & REHABILITATION CENTER (SACRAMENTO, CA) — $14,020 in CMS Fines
Outcome: COLLEGE OAK NURSING & REHABILITATION CENTER in SACRAMENTO, CA was fined $14,020 by CMS following 24 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Reasonably accommodate the needs and preferences of each resident.
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Ensure medication error rates are not 5 percent or greater.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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