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 14 of 14 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

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

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

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

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

    Health citation F-0557, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2023).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, 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).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, 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).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

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

  13. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 27, 2023. Found during a standard inspection.

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

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

    Health citation F-0801, 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).

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.