Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 056095

Devonshire Care Center

73 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $10,364.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
73
Total citations
54
Last 3 years
1
Actual harm+
1
Federal penalties
$10,364
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Resident Rights9 Care Planning8 Infection Control6 Abuse & Neglect6

Most common F-tags at this facility

F68410 F8805 F6093 F5843 F6773

Citation history

73 on record
SurveyF-TagViolationSeveritySource
Jan 9, 2026F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint
Aug 22, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jul 29, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint
Jul 2, 2025F881Implement a program that monitors antibiotic use.EComplaint
Jul 2, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint
Jul 2, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Jul 2, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Jun 4, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jun 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 4, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 21, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Apr 14, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Apr 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Apr 14, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Apr 14, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Apr 14, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 14, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Apr 14, 2025F761Ensure 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.DStandard
Apr 14, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Apr 14, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 14, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 14, 2025F685Assist a resident in gaining access to vision and hearing services.DStandard
Apr 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 14, 2025F641Ensure each resident receives an accurate assessment.DStandard
Apr 14, 2025F584Honor 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.DStandard
Apr 14, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard
Apr 14, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 1, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Mar 26, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Mar 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Mar 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Feb 10, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Feb 4, 2025F880Provide and implement an infection prevention and control program.EComplaint
Feb 4, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Feb 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 4, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 4, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 14, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Oct 28, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jul 17, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 4, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 4, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Mar 14, 2024F880Provide and implement an infection prevention and control program.DStandard
Mar 14, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 14, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Mar 14, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Oct 18, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Oct 18, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 1, 2023F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DComplaint
Apr 11, 2023F584Honor 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.DComplaint
Apr 3, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
May 21, 2021F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
May 21, 2021F880Provide and implement an infection prevention and control program.EStandard
May 21, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 21, 2021F761Ensure 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.EStandard
May 21, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 21, 2021F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 21, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 21, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
May 21, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
May 21, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 21, 2021F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
May 21, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 21, 2021F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
May 21, 2021F584Honor 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.DStandard
May 21, 2021F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
May 21, 2021F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $10,364 .

DateTypeFinePayment denial
Jul 2, 2025Fine$10,364—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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