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DEVONSHIRE OAKS NURSING CENTER

Open-data reference.

DEVONSHIRE OAKS NURSING CENTER is a for profit - corporation facility in REDWOOD CITY, CA with 38 certified beds and a 3-star overall CMS rating. The facility has 28 deficiency records on file.

3635 JEFFERSON AVENUE, REDWOOD CITY, CA 94062

Phone: 6503669503

Overall Rating

3/5

Health Inspection

4/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
555813
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
38
Residents
31
In Hospital
No
County
San Mateo
Last Inspection
Jan 17, 2025

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A

What the CMS Record Reveals About DEVONSHIRE OAKS NURSING CENTER

DEVONSHIRE OAKS NURSING CENTER operates 38 certified beds in REDWOOD CITY, CA with approximately 31 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 28 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, DEVONSHIRE OAKS NURSING CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (28 most recent)

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Mar 1, 2025

F — Widespread - Minimal harm Jan 17, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 1, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 1, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 1, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 1, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 1, 2025

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jan 15, 2024

F — Widespread - Minimal harm Oct 27, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 24, 2023

E — Pattern - Minimal harm Oct 27, 2023 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 23, 2023

E — Pattern - Minimal harm Oct 27, 2023 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 28, 2023

E — Pattern - Minimal harm Oct 27, 2023 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 30, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 30, 2023

E — Pattern - Minimal harm Oct 27, 2023 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 30, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 30, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 30, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Oct 27, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Oct 27, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Nov 29, 2023

D — Isolated - Minimal harm Oct 27, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 30, 2023

G — Isolated - Actual harm Aug 1, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 1, 2023

F — Widespread - Minimal harm Nov 10, 2021 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Dec 14, 2021

E — Pattern - Minimal harm Nov 10, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 14, 2021

F — Widespread - Minimal harm Nov 10, 2021 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 14, 2021

D — Isolated - Minimal harm Nov 10, 2021 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 14, 2021

E — Pattern - Minimal harm Nov 10, 2021 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 14, 2021

D — Isolated - Minimal harm Nov 10, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 14, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 79.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 8.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 85.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 79.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for DEVONSHIRE OAKS NURSING CENTER?
DEVONSHIRE OAKS NURSING CENTER has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at DEVONSHIRE OAKS NURSING CENTER?
DEVONSHIRE OAKS NURSING CENTER reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68).
How many beds does DEVONSHIRE OAKS NURSING CENTER have?
DEVONSHIRE OAKS NURSING CENTER has 38 certified beds with approximately 31 residents. The facility is located at 3635 JEFFERSON AVENUE, REDWOOD CITY, CA 94062.
Does DEVONSHIRE OAKS NURSING CENTER have any deficiencies on record?
Yes, DEVONSHIRE OAKS NURSING CENTER has 28 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has DEVONSHIRE OAKS NURSING CENTER received any fines or penalties?
No, DEVONSHIRE OAKS NURSING CENTER has no fines or penalties on record.
Who owns DEVONSHIRE OAKS NURSING CENTER?
DEVONSHIRE OAKS NURSING CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was DEVONSHIRE OAKS NURSING CENTER last inspected?
The most recent health inspection for DEVONSHIRE OAKS NURSING CENTER was on Jan 17, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for DEVONSHIRE OAKS NURSING CENTER?
DEVONSHIRE OAKS NURSING CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial