The home failed to provide enough food and fluids to keep residents healthy. Cited November 2019 — limited pattern, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: H
Nursing home report
DEVONSHIRE CARE CENTER
STERLING, CO · Medicare-certified · 84 beds
In good standing
For-profitChain member
3 of 5 overall
DEVONSHIRE CARE CENTER (STERLING, CO) has a 3 out of 5 overall rating, with 3 stars for health inspections, 2 stars for staffing, and 4 stars for quality measures. It reports 3.10 nurse staffing hours per resident per day, below the federal benchmark of 4.1, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0975 hrs/resident/day
Quality measures
Last inspection: December 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0975.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 1.01
- Nurse aides
- 1.69
- Weekend nursing
- 2.70
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.9%Worsening
Residents with a fall causing major injury
4.8%Worsening
Residents with pressure ulcers (bedsores)
1.7%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
14.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.2%Worsening
Residents whose ability to walk got worse
18.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
7.3%Worsening
Short-stay residents newly given an antipsychotic
4%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26%Improving
Residents with depressive symptoms
2%Improving
Long-stay residents given the seasonal flu vaccine
98.4%Steady
Long-stay residents given the pneumonia vaccine
94.8%Improving
Short-stay residents given the seasonal flu vaccine
68.9%Steady
Short-stay residents given the pneumonia vaccine
80%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to respect the resident’s right to choose a roommate or spouse and to give written notice before changing the room arrangement. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 559 — 42 CFR §483.10 — S/S: E
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 849 — 42 CFR §483.70 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $2,350 in total fines.
- $2,350
Federal fine
Mar 7, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LONG PEAK OPERATING COMPANY · 7 homes · 2.9 stars avg
- Occupancy
- 68.1 residents on an average day (81% of 84 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 47 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.