All citations for Devonshire Oaks Nursing 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 Oaks Nursing Center

Last standard health inspection on record

January 17, 2025

Showing 1 to 25 of 66 citations

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  2. 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 February 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 27, 2025).

  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 January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2025).

  4. 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 January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2025).

  5. 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 January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2025).

  6. 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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0352, Smoke Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

  10. 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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

  11. 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 October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2021).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2021).

  14. 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 November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2021).

  15. 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 November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2021).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of January 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  17. 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.

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

    Health citation F-0661, Resident Assessment and Care Planning Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 30, 2023).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 2, 2023).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

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

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 13, 2023).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of November 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2021).

  25. 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 10, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2021).

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.