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Devonshire Oaks Nursing Center

πŸ“ 3635 Jefferson Avenue, Redwood-city, CA 94062 πŸ“ž (650) 366-9503 πŸ›οΈ 38 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $655

$655
Nov 15, 2021

Fine

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Health Violations by Year

2025 6 violations

Tag 0655 D Jan 17, 2025

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

βœ“ Corrected: Mar 1, 2025
Tag 0656 D Jan 17, 2025

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

βœ“ Corrected: Mar 1, 2025
Tag 0684 D Jan 17, 2025

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

βœ“ Corrected: Mar 1, 2025
Tag 0755 D Jan 17, 2025

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

βœ“ Corrected: Mar 1, 2025
Tag 0812 F Jan 17, 2025

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

βœ“ Corrected: Mar 1, 2025
Tag 0849 D Jan 17, 2025

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.

βœ“ Corrected: Mar 1, 2025

2023 17 violations

Tag 0550 D Oct 27, 2023

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

βœ“ Corrected: Oct 30, 2023
Tag 0557 D Oct 27, 2023

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

βœ“ Corrected: Nov 29, 2023
Tag 0558 D Oct 27, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Oct 27, 2023
Tag 0584 D Oct 27, 2023

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.

βœ“ Corrected: Oct 27, 2023
Tag 0623 D Oct 27, 2023

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

βœ“ Corrected: Jan 15, 2024
Tag 0655 D Oct 27, 2023

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

βœ“ Corrected: Oct 30, 2023
Tag 0657 D Oct 27, 2023

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

βœ“ Corrected: Oct 30, 2023
Tag 0661 E Oct 27, 2023

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

βœ“ Corrected: Oct 30, 2023
Tag 0732 D Oct 27, 2023

Post nurse staffing information every day.

βœ“ Corrected: Oct 30, 2023
Tag 0761 D Oct 27, 2023

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.

βœ“ Corrected: Oct 30, 2023
Tag 0801 D Oct 27, 2023

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.

βœ“ Corrected: Nov 2, 2023
Tag 0802 E Oct 27, 2023

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

βœ“ Corrected: Nov 2, 2023
Tag 0803 E Oct 27, 2023

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.

βœ“ Corrected: Nov 28, 2023
Tag 0804 E Oct 27, 2023

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

βœ“ Corrected: Nov 23, 2023
Tag 0812 F Oct 27, 2023

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

βœ“ Corrected: Nov 24, 2023
Tag 0837 F Oct 27, 2023

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

βœ“ Corrected: Nov 13, 2023
Tag 0689 G Aug 1, 2023

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

βœ“ Corrected: Sep 1, 2023
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2021 10 violations

Tag 0689 D Nov 10, 2021

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

βœ“ Corrected: Dec 14, 2021
Tag 0759 E Nov 10, 2021

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Dec 14, 2021
Tag 0802 D Nov 10, 2021

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

βœ“ Corrected: Dec 14, 2021
Tag 0804 F Nov 10, 2021

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

βœ“ Corrected: Dec 14, 2021
Tag 0812 E Nov 10, 2021

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

βœ“ Corrected: Dec 14, 2021
Tag 0867 F Nov 10, 2021

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

βœ“ Corrected: Dec 14, 2021
Tag 0626 D Oct 15, 2021

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

βœ“ Corrected: Nov 29, 2021
Tag 0880 E Mar 17, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 25, 2021
Tag 0637 D Feb 23, 2021

Assess the resident when there is a significant change in condition

βœ“ Corrected: Mar 9, 2021
Tag 0689 D Feb 23, 2021

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

βœ“ Corrected: Mar 9, 2021

2020 2 violations

Tag 0609 D Sep 15, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 28, 2020
Tag 0689 D Sep 15, 2020

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

βœ“ Corrected: Oct 28, 2020
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2019 20 violations

Tag 0624 D Oct 10, 2019

Prepare residents for a safe transfer or discharge from the nursing home.

βœ“ Corrected: Oct 24, 2019
Tag 0552 D May 9, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Jul 25, 2019
Tag 0607 D May 9, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Jul 25, 2019
Tag 0623 D May 9, 2019

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

βœ“ Corrected: Jul 25, 2019
Tag 0625 D May 9, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Jul 25, 2019
Tag 0655 F May 9, 2019

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

βœ“ Corrected: Jul 25, 2019
Tag 0656 E May 9, 2019

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

βœ“ Corrected: Jul 25, 2019
Tag 0658 D May 9, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jul 25, 2019
Tag 0661 D May 9, 2019

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

βœ“ Corrected: Jul 25, 2019
Tag 0684 E May 9, 2019

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

βœ“ Corrected: Jul 25, 2019
Tag 0692 D May 9, 2019

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jul 25, 2019
Tag 0756 D May 9, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jul 25, 2019
Tag 0758 D May 9, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jul 25, 2019
Tag 0759 E May 9, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jul 25, 2019
Tag 0761 E May 9, 2019

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.

βœ“ Corrected: Jul 25, 2019
Tag 0804 E May 9, 2019

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

βœ“ Corrected: Jul 25, 2019
Tag 0812 E May 9, 2019

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

βœ“ Corrected: Jul 25, 2019
Tag 0849 D May 9, 2019

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.

βœ“ Corrected: Jul 25, 2019
Tag 0883 D May 9, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jul 25, 2019
Tag 0689 D Jan 2, 2019

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

βœ“ Corrected: Feb 6, 2019

2018 7 violations

Tag 0582 E Jun 13, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Aug 6, 2018
Tag 0657 E Jun 13, 2018

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

βœ“ Corrected: Aug 6, 2018
Tag 0661 D Jun 13, 2018

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

βœ“ Corrected: Aug 6, 2018
Tag 0761 E Jun 13, 2018

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.

βœ“ Corrected: Aug 6, 2018
Tag 0812 E Jun 13, 2018

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

βœ“ Corrected: Aug 6, 2018
Tag 0849 D Jun 13, 2018

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.

βœ“ Corrected: Aug 6, 2018
Tag 0880 E Jun 13, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 6, 2018
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2017 6 violations

Tag 0496 E Dec 8, 2017

1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation.

βœ“ Corrected: Jan 9, 2018
Tag 0154 D May 17, 2017

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: Jul 13, 2017
Tag 0332 D May 17, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

βœ“ Corrected: Jul 13, 2017
Tag 0371 F May 17, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jul 13, 2017
Tag 0425 D May 17, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Jul 13, 2017
Tag 0431 D May 17, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jul 13, 2017
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