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 7 of 7 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 27, 2023. Found during a complaint inspection.

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

  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 10, 2021. Found during a standard inspection.

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

  7. 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.

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

    Health citation F-0802, 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.