The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
DEVONSHIRE OAKS NURSING CENTER
REDWOOD CITY, CA · Medicare-certified · 38 beds
In good standing
For-profit
Data as of July 1, 2026
5 of 5 overall
Devonshire Oaks Nursing Center in Redwood City has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reports 4.64 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.6415 hrs/resident/day
Quality measures
Last inspection: February 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6415.
Staffing detail
- Registered nurses
- 1.37
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.60
- Weekend nursing
- 3.91
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—16.3%—
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%4.2%Worsening
Residents who lost too much weight
18.2%9.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15%20%Worsening
Residents whose ability to walk got worse
—10.1%—
Long-stay residents on antianxiety or sleep medication
9.1%4.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%2.6%Worsening
Residents with new or worsening incontinence
7.7%7.5%No change
Residents with depressive symptoms
—0%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—85.7%—
Long-stay residents given the pneumonia vaccine
95.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—79.1%—
Short-stay residents given the pneumonia vaccine
76.2%89.8%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited November 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited November 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
The home failed to make sure important discharge information was shared with the resident and the next health care provider. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 661 — 42 CFR §483.21 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 31.7 residents on an average day (83% of 38 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 years
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.