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

DEVONSHIRE CARE CENTER

STERLING, CO · 84 certified beds · Last Life Safety survey March 26, 2026

CMS Certification Number 065150 · first certified March 1979

Ownership

Operated by LONG PEAK OPERATING COMPANY · For profit - Limited Liability company

Ownership changed March 1, 2024 (change of ownership)from CHANCELLOR HEALTH CARE OF COLORADO, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within CO

28 citations — more than 84% of the 210 certified nursing homes in CO. Compared within CO 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

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

The latest survey found 13 citations; the earlier surveys in the window averaged 7.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was March 2026. Facilities in CO are typically surveyed 17–24 months after the last one (median 19), measured over 177 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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5 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.

Physical environment (health survey)

5 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 28 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

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

Citations on file over three years, compared
Measure	Citations
This facility	28
Median facility in CO	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 18, 2019	8
March 7, 2024	7
March 26, 2026	13

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2026-03-26
K-0712	Have simulated fire drills held at unexpected times.	3	2026-03-26
K-0324	Provide properly protected cooking facilities.	2	2026-03-26
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2026-03-26
K-0751	Have restrictions on the use of flammable curtains.	2	2026-03-26
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-03-26
K-0363	Install corridor and hallway doors that block smoke.	2	2026-03-26
K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen.	1	2019-11-18

What the citations cover

Citations by CMS category

Smoke Deficiencies 8
Miscellaneous Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 7
Egress Deficiencies 3
Other 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	8
Miscellaneous Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	7
Egress Deficiencies	3
Services Deficiencies	2
Construction Deficiencies	1

Every citation on file

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

March 26, 2026 — 13 citations

Citations issued on March 26, 2026
Tag	What the surveyor checks	Status
K-0161	Use approved construction type or materials.	Deficient, Provider has plan of correction (August 15, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (May 27, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (May 21, 2026)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has plan of correction (May 8, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 21, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has plan of correction (August 15, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has plan of correction (May 5, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has plan of correction (June 17, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 11, 2026)
K-0751	Have restrictions on the use of flammable curtains.	Deficient, Provider has date of correction (May 21, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has plan of correction (May 6, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 21, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has plan of correction (August 18, 2026)

March 7, 2024 — 7 citations

Citations issued on March 7, 2024
Tag	What the surveyor checks	Status
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (April 15, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 5, 2024)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (April 5, 2024)
K-0751	Have restrictions on the use of flammable curtains.	Deficient, Provider has date of correction (April 5, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (March 27, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 25, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (April 5, 2024)

November 18, 2019 — 8 citations

Citations issued on November 18, 2019
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (December 23, 2019)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 23, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 23, 2019)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 23, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (December 23, 2019)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 23, 2019)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 23, 2019)
K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen.	Deficient, Provider has date of correction (December 23, 2019)

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