Devonshire Care Center

Inspection history (26)

• December 9, 2025 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2025-12-09 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-09.GOV

• December 9, 2025 · D

  Citation F0678

  Federal surveyors cited this nursing home on 2025-12-09 under CMS tag F0678 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2026-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-09.GOV

• May 20, 2025 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2025-05-20 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-20.GOV

• March 20, 2025 · E

  Citation F0550

  Federal surveyors cited this nursing home on 2025-03-20 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-20.GOV

• March 20, 2025 · E

  Citation F0559

  Federal surveyors cited this nursing home on 2025-03-20 under CMS tag F0559 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. The deficiency was recorded as corrected on 2025-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-20.GOV

• September 17, 2024 · D

  Citation F0697

  Federal surveyors cited this nursing home on 2024-09-17 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-17.GOV

• September 17, 2024 · D

  Citation F0660

  Federal surveyors cited this nursing home on 2024-09-17 under CMS tag F0660 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Plan the resident's discharge to meet the resident's goals and needs. The deficiency was recorded as corrected on 2024-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-17.GOV

• September 17, 2024 · E

  Citation F0849

  Federal surveyors cited this nursing home on 2024-09-17 under CMS tag F0849 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-09-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-17.GOV

• May 28, 2024 · D

  Citation F0697

  Federal surveyors cited this nursing home on 2024-05-28 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-06-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-28.GOV

• March 7, 2024 · D

  Citation F0699

  Federal surveyors cited this nursing home on 2024-03-07 under CMS tag F0699 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care or services that was trauma informed and/or culturally competent. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-07.GOV

• March 7, 2024 · E

  Citation F0700

  Federal surveyors cited this nursing home on 2024-03-07 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-07.GOV

• March 7, 2024 · E

  Citation F0565

  Federal surveyors cited this nursing home on 2024-03-07 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-07.GOV

• March 7, 2024 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2024-03-07 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-07.GOV

• March 7, 2024 · C

  Citation F0574

  Federal surveyors cited this nursing home on 2024-03-07 under CMS tag F0574 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for The resident has the right to receive notices in a format and a language he or she understands. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-07.GOV

• March 7, 2024 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2024-03-07 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-03-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-07.GOV

• November 18, 2019 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2019-11-18 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2019-12-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-18.GOV

• November 18, 2019 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2019-11-18 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2019-12-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-18.GOV

• November 18, 2019 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2019-11-18 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2019-12-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-18.GOV

• November 18, 2019 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2019-11-18 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2019-12-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-18.GOV

• November 18, 2019 · H

  Citation F0692

  Federal surveyors cited this nursing home on 2019-11-18 under CMS tag F0692 (CMS scope/severity H: pattern, actual harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2019-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2019-11-18.GOV

Penalties

Total fines on file: $2,350

Staffing

Latest: 3.10 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Devonshire Snf Holdings, LLC

   parent · PAC 9032629746