DEVONSHIRE OAKS NURSING CENTER

For profit - Corporation · 38 certified beds · CCN 555813 · ST. THERESE CONVALESCENT HOSPITAL ,INC. · San Mateo · CA


DEVONSHIRE OAKS NURSING CENTER is a 38-bed nursing home in REDWOOD CITY, California. CMS has certified it for Medicare and Medicaid since 2004-11-08. It averages 31.7 residents a day.

What harm was found in the violations cited at DEVONSHIRE OAKS NURSING CENTER?

CMS lists 28 health-inspection deficiencies for DEVONSHIRE OAKS NURSING CENTER since 2021-11-10, 22 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-01-17.

Survey dateTagDeficiencySeverity
2025-01-17F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-01-17F0655, F0656, F0684, F0755, F0849Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.D
2023-10-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-10-27F0661, F0802, F0803, F0804Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-10-27F0550, F0557, F0558, F0584, F0655, F0657, F0732, F0761, F0801, F0623Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Reasonably accommodate the needs and preferences of each resident. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Post nurse staffing information every day. / 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. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D
2023-08-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2021-11-10F0804, F0867Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2021-11-10F0759, F0812Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2021-11-10F0689, F0802Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D

How is DEVONSHIRE OAKS NURSING CENTER staffed?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.641464.51570
Average number of residents per day31.787.9

Who owns DEVONSHIRE OAKS NURSING CENTER?

DEVONSHIRE OAKS NURSING CENTER is registered with CMS as For profit - Corporation, operates under the legal business name ST. THERESE CONVALESCENT HOSPITAL ,INC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTST. THERESE CONVALESCENT HOSPITAL ,INC., CABANAYAN, DANILO, CABANAYAN, LORETAsince 07/01/2003
W-2 MANAGING EMPLOYEECABANAYAN, DANILOsince 07/01/2003
CORPORATE OFFICERCABANAYAN, DANILOsince 11/01/2003
OPERATIONAL/MANAGERIAL CONTROLCABANAYAN, DANILOsince 09/01/2021
GENERAL PARTNERSHIP INTERESTCABANAYAN, DANILOsince 11/01/2003

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