A list of the most recent deficiencies for Devonshire Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-18 | 2022-11-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-18 | 2022-11-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-12-10 | 2019-12-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-18 | 2019-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-18 | 2019-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-18 | 2019-12-02 | N |
| 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. | Health | 2019-11-18 | 2019-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-18 | 2019-12-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-18 | 2019-11-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-06 | 2019-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-06 | 2018-12-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-06 | 2018-12-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-10-18 | 2018-11-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-18 | 2018-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-13 | N |
| 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. | Health | 2018-10-18 | 2018-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-11-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-28 | 2017-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-25 | 2017-05-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-25 | 2017-05-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-04-25 | 2017-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-25 | 2017-05-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-28 | 2017-04-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-28 | 2017-04-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-28 | 2017-04-21 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-28 | 2017-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-28 | 2017-04-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-28 | 2017-04-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-28 | 2017-04-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-28 | 2017-04-21 | N |
