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 19 of 19 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 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

  2. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

  3. 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 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

  5. 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 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

  6. 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 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  7. 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 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2024).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

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

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

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

    Health citation F-0559, Resident Rights Deficiencies. Inspection of March 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of September 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 30, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

  15. 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 20, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (April 27, 2025).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of September 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 30, 2024).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of September 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 30, 2024).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

  19. No harm, with potential for minimal harm

    The resident has the right to receive notices in a format and a language he or she understands.

    Widespread (many residents). CMS level C.

    Health citation F-0574, Resident Rights Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

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.