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

March 26, 2026

Showing 1 to 23 of 23 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  2. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (March 22, 2026).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 15, 2026).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 27, 2026).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2026).

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 15, 2026).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 5, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 11, 2026).

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

    Have restrictions on the use of flammable curtains.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2026).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2026).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home has a plan to correct it (August 18, 2026).

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

    Honor the resident's right to manage his or her financial affairs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0567, Resident Rights Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 21, 2026).

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

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 17, 2026).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 6, 2026).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

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

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of December 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of December 9, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2025).

  23. No harm, with potential for minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Widespread (many residents). CMS level C.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of March 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.