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 15 of 15 citations

  1. Harm to a resident

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

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 25, 2019).

  2. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2019).

  3. 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 May 28, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

  4. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2019).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2019).

  6. 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 November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2019).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2019).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

  9. 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 November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

  12. 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 November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

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

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 23, 2019).

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.