Devonshire Care Center

1350 East Devonshire Avenue, Hemet, CA 92544 · (951) 925-2571
For profit - Limited Liability company · 99 certified beds

Devonshire Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 17 citations (the California average is 15.6). It was fined 1 time in the last three years, $10,364 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 14, 2025 found 17 citations. What an inspection citation means

• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.April 14, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 14, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 14, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 14, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.April 14, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.April 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.April 14, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 14, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.April 14, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 14, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Assist a resident in gaining access to vision and hearing services.April 14, 2025 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 14, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.April 14, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Observe each nurse aide's job performance and give regular training.April 14, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.April 14, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 14, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 40 citations.

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.July 16, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 16, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.April 20, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 20, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe, appropriate pain management for a resident who requires such services.April 1, 2026 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.January 9, 2026 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.August 22, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.July 29, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 2, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.July 2, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a plan that describes the process for conducting QAPI and QAA activities.July 2, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Implement a program that monitors antibiotic use.July 2, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.June 4, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 4, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 4, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 21, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 14, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.April 14, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 14, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe, appropriate dialysis care/services for a resident who requires such services.April 1, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 26, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe, appropriate pain management for a resident who requires such services.March 26, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 12, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.February 10, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 10, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 4, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.February 4, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 4, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 4, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.February 4, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 14, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 28, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.July 17, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 16, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 16, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.April 4, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 4, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 4, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 18, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.October 18, 2023 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $10,364July 2, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home