All citations for Devonshire Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Devonshire Care Center

Last standard health inspection on record

April 14, 2025

Showing 26 to 43 of 43 citations

  1. No harm, with potential for more than minimal harm

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2021).

  2. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2021).

  3. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2021).

  4. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2021).

  5. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2021).

  6. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0919, Environmental Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2021).

  7. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  8. No harm, with potential for more than minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  9. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  10. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  11. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  12. No harm, with potential for more than minimal harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  13. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  14. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  15. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  16. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  17. No harm, with potential for more than minimal harm

    Meet requirements for the use of electrical equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

  18. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 21, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 24, 2021).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.