DEVONSHIRE OAKS NURSING CENTER has an overall 5-star rating, with strong quality measures and staffing, and reported nurse staffing above the federal benchmark (4.64 vs 4.1 hours per resident day). It had a 4-star health inspection rating, no fines in the last 24 months, and recent citations related to food safety/quality and quality assurance.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 802 — 42 CFR §483.60 — 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
INSPECTION
Health inspection found 6 health deficiencies.
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.