Devonshire Oaks Nursing Center
3635 Jefferson Avenue · Redwood City, CA · 94062 · 6503669503
38 certified beds For profit - Corporation
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.86 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · D January 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 1, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 1, 2025 · Pharmacy Service
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Potential for harm · F January 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 1, 2025 · Nutrition and Dietary
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Potential for harm · D January 17, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected March 1, 2025 · Administration
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Potential for harm · D October 27, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 30, 2023 · Resident Rights
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Potential for harm · D October 27, 2023
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected November 29, 2023 · Resident Rights
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Potential for harm · D October 27, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected October 27, 2023 · Resident Rights
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Potential for harm · D October 27, 2023
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.
Corrected October 27, 2023 · Resident Rights
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Potential for harm · D October 27, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 27, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 27, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected October 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 27, 2023
Post nurse staffing information every day.
Corrected October 30, 2023 · Nursing and Physician Services
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Potential for harm · D October 27, 2023
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.
Corrected October 30, 2023 · Pharmacy Service
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Potential for harm · D October 27, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected November 2, 2023 · Nutrition and Dietary
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Potential for harm · E October 27, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected November 2, 2023 · Nutrition and Dietary
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Potential for harm · E October 27, 2023
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.
Corrected November 28, 2023 · Nutrition and Dietary
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Potential for harm · E October 27, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 23, 2023 · Nutrition and Dietary
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Potential for harm · F October 27, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 24, 2023 · Nutrition and Dietary
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Potential for harm · D October 27, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 15, 2024 · Resident Rights
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Actual harm · G August 1, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · D November 10, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 14, 2021 · Quality of Life and Care
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Potential for harm · E November 10, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected December 14, 2021 · Pharmacy Service
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Potential for harm · D November 10, 2021
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected December 14, 2021 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555813 · certified since November 8, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.