Inspection citations
16’21
2’23
12’24
38’25
6’26
74 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jul 16, 2026 | D · potential | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Complaint |
| Jul 16, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 20, 2026 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 20, 2026 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Apr 1, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jan 9, 2026 | D · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Complaint |
| Aug 22, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Jul 29, 2025 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Jul 2, 2025 | J · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jul 2, 2025 | E · potential | 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. | Complaint |
| Jul 2, 2025 | E · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Complaint |
| Jul 2, 2025 | E · potential | Implement a program that monitors antibiotic use. | Complaint |
| Jun 4, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Jun 4, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Jun 4, 2025 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Complaint |
| May 21, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Apr 14, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Apr 14, 2025 | E · potential | 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. | Routine |
| Apr 14, 2025 | D · potential | 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. | Routine |
| Apr 14, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Apr 14, 2025 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Apr 14, 2025 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Apr 14, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Apr 14, 2025 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Apr 14, 2025 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Apr 14, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Apr 14, 2025 | E · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Complaint |
| Apr 14, 2025 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Apr 14, 2025 | D · potential | 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. | Routine |
| Apr 14, 2025 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Apr 14, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 14, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Apr 14, 2025 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Apr 1, 2025 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Complaint |
| Mar 26, 2025 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 26, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Complaint |
| Mar 12, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 10, 2025 | D · potential | Protect each resident from the wrongful use of the resident's belongings or money. | Complaint |
| Feb 10, 2025 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Feb 4, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 4, 2025 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Feb 4, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 4, 2025 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Feb 4, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 14, 2024 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Oct 28, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Jul 17, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Jul 16, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jul 16, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Apr 4, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Apr 4, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Apr 4, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 14, 2024 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Mar 14, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Mar 14, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 14, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 18, 2023 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Oct 18, 2023 | D · potential | Provide timely, quality laboratory services/tests to meet the needs of residents. | Complaint |
| May 21, 2021 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| May 21, 2021 | D · potential | 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. | Routine |
| May 21, 2021 | D · potential | 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. | Routine |
| May 21, 2021 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Routine |
| May 21, 2021 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 21, 2021 | D · potential | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Routine |
| May 21, 2021 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| May 21, 2021 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| May 21, 2021 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| May 21, 2021 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 21, 2021 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 21, 2021 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 21, 2021 | E · potential | 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. | Routine |
| May 21, 2021 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 21, 2021 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| May 21, 2021 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Devonshire Care Center
1350 East Devonshire Avenue, Hemet, CA 92544 · (951) 925-2571
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056095
- Certified beds
- 99
- Legal owner
- Devonshire Care Center, LLC
- Part of
- Genesis Healthcare
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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