Overall sentiment in the reviews for College Oak Nursing & Rehab is strongly polarized. A substantial portion of reviewers praise the front-line caregiving team—CNAs, LVNs, RNs—and therapy staff (PT/OT/ST) as compassionate, professional, and attentive. Multiple reviewers specifically call out individual staff and departments (admissions, nursing leadership, therapy, kitchen) for going above and beyond, helping with transitions from hospital, and providing dignified, family-like care. Several accounts emphasize a clean facility, helpful Medi-Cal/billing support, Spanish-speaking staff, high nurse-to-patient or therapy-to-patient ratios, and positive mealtime/dining experiences. These positive reports include explicit recommendations to friends and family and gratitude for smooth admissions and good rehabilitation outcomes.
Contrasting those positive experiences are numerous and sometimes serious negative allegations. Recurrent administrative problems appear across many reviews: poor communication from leadership, misplaced or lost clothing and belongings (including reports of clothing being given to other patients), and frustration with how administrators respond to concerns. Some reviewers report business-practice complaints such as delayed compensation and an administrator who dismisses family concerns. These administrative failures often amplify clinical and safety issues when families are trying to resolve care problems.
Clinical and safety concerns are among the most significant negative themes. Specific, serious reports include incorrect insulin administration, misdiagnosis, delay or failure to address wounds and thrush, and an alleged life-threatening risk of sepsis in at least one account. There are also frequent complaints about inadequate toileting assistance and inappropriate use of diapers for patients who are not incontinent. Several reviewers noted the absence of an on-staff physician and cited poor order documentation and communication as contributing to unsafe situations. These clinical lapses are paired in some reports with residents being left unattended in hallways, loud altercations in corridors, and soiled or smelly areas — all indicating lapses in supervision and environmental oversight in certain shifts or units.
Staff behavior and culture appear mixed and highly variable by shift, unit, or individual. Many reviews name staff as kind, respectful, skilled, and trustworthy; others describe arguing staff, rudeness, bullying, or arrogance. Similarly, management receives polarized feedback: some families praise the nursing director, admitting manager, and an effective management team, while others describe administrators as unresponsive, dismissive, or ineffective. This split suggests inconsistent leadership or variability in performance between different managers or time periods.
Facility and amenities are also described inconsistently. Several reviewers praise a clean, well-kept facility, spacious rooms, and a pleasant dining area with personable kitchen staff. Others describe dated, grim-feeling rooms, limited parking, and localized cleanliness problems such as urine trails and strong odors. Rehabilitation services are highlighted as excellent by some (with high-quality PT/OT/ST and good therapy outcomes), yet other reviewers report little or no therapy access despite being told the facility was rehabilitation-focused.
Taken together, the reviews indicate that College Oak Nursing & Rehab can deliver excellent, compassionate care—particularly in hands-on nursing and therapy—but experiences appear highly dependent on specific staff, shifts, or management responsiveness. Recurring red flags are administrative communication failures, inconsistent clinical oversight, and lapses in basic hygiene/assistance in some reports. Prospective residents and families should weigh both the strong positive experiences and the serious negative allegations. If considering this facility, it would be prudent to tour multiple units at different times of day, ask specific questions about clinical oversight (physician coverage, medication administration protocols, wound care procedures), laundry and property handling policies, toileting and incontinence protocols, staffing ratios by shift, and how the facility documents and communicates orders and incidents to families.
