Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

DEVONSHIRE OAKS NURSING CENTER

REDWOOD CITY, CA · 38 certified beds · Last Life Safety survey February 18, 2025

CMS Certification Number 555813 · first certified November 2004

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

39
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
17
Inspection & testing records
Of the citations on file

Position within CA

39 citations — more than 96% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 11.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (February 2026 to August 2026). Most CA facilities have been surveyed by July 2027. This facility’s last Life Safety survey was February 2025. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 39 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 39 Life Safety citations above. The Physical Environment Index

  • F-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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility39CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility39
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
132021-11152023-1072025-0142025-02
Citations at each Life Safety survey
Survey dateCitations
November 10, 202113
October 27, 202315
January 17, 20257
February 18, 20254

Most-cited tags

Most-cited tags at this facility
K-09184K-03533K-01613K-03633K-03243K-09192E-00152E-00341
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.42025-02-18
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-01-17
K-0161Use approved construction type or materials.32025-01-17
K-0363Install corridor and hallway doors that block smoke.32025-01-17
K-0324Provide properly protected cooking facilities.32025-01-17
K-0919Meet requirements for the use of electrical equipment.22023-10-27
E-0015Address subsistence needs for staff and patients.22025-02-18
E-0034Provide a means of sharing information on occupancy/needs.12021-11-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 17
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Emergency Preparedness Deficiencies 5
  • Egress Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies17
Gas, Vacuum, and Electrical Systems Deficiencies9
Emergency Preparedness Deficiencies5
Egress Deficiencies3
Construction Deficiencies3
Miscellaneous Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 18, 2025 — 4 citations

Citations issued on February 18, 2025
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 20, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 20, 2025)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (February 13, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 27, 2025)

January 17, 2025 — 7 citations

Citations issued on January 17, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 13, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 23, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 30, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 18, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 7, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 18, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 23, 2025)

October 27, 2023 — 15 citations

Citations issued on October 27, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (December 13, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 13, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 13, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 13, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 13, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 13, 2023)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (December 13, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (December 13, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (December 13, 2023)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (December 13, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 13, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 13, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (December 13, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 13, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (December 13, 2023)

November 10, 2021 — 13 citations

Citations issued on November 10, 2021
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (December 13, 2021)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (December 13, 2021)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (December 13, 2021)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (December 13, 2021)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (December 13, 2021)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 13, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 13, 2021)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 13, 2021)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (December 13, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 13, 2021)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (December 13, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 13, 2021)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (December 13, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.