Devonshire Oaks Nursing Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 14 Google reviews
Watch Devonshire Oaks Nursing Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
What this means for your family
The facility currently shows strong performance in physical therapy and staff friendliness, which is excellent for rehabilitation. However, you must investigate the facility's heating capabilities and medication protocols, as past reports of extreme cold and medication errors are significant red flags.
Google Reviews
Google Reviews
14 reviews on Google“Families should be aware of significant discrepancies in care quality, as recent reviews praise the physical therapy and friendly staff, while older reviews highlight severe safety concerns like medication errors and privacy breaches. While some residents find the facility comparable to a hotel, others have reported inadequate heating and lack of essential hygiene supplies during their stay.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy services
- Friendly and polite nursing staff
- Engaging activity programs
- Clean facility appearance
Concerns
- Inadequate facility temperature/heating
- Medication management and privacy errors
Rating Trends
Tap a year to see what changed
Distribution · 14 analyzed
How They Respond to Reviews
The owner uses templated responses that often ignore the specific details or personal anecdotes shared by reviewers. While the tone is polite, the content is largely repetitive and focuses on standard service descriptions.
Questions for Your Tour
- 1We've heard great things about your activity programs; could you tell us more about what a typical week of engagement looks like for the residents?
- 2Since we want to ensure our loved one is comfortable, how do you manage the heating and temperature control within the resident rooms?
- 3What specific protocols do you have in place to ensure medication is administered accurately and that resident privacy is maintained during care?
- 4Could you describe your process for communicating important health updates or changes in condition to family members?
- 5In the event of a medical emergency after hours, what is the immediate procedure for contacting both the physician and the family?
- 6We noticed some mentions of the facility's cleanliness; what is your daily routine for maintaining the common areas and resident rooms?
Personalized based on this facility's data
Key Review Excerpts
“The service here like nurses they all polite, always c”
“The staff here really care for their patients, they did an excellent job caring for my aunt. The Social Worker Olga was simply amazing in their competent and caring manner.”
“There's no heat or kept at around 60. To save the environment yes, but for sick, weak and elderly and helpless patients?”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
4
measures
5
measures
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows recurring problems across multiple areas, with families filing 6 complaints that triggered inspections. The most persistent issues involve fire safety systems (sprinklers, alarms, emergency power), food service quality and safety, and medication management. While all 67 deficiencies have correction dates, the same problems repeatedly resurface across surveys from 2021 to 2025, suggesting ongoing challenges with maintaining standards in critical safety and care areas.
Feb 18, 2025Complaint4
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Jan 17, 2025Routine13
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Construction Deficiencies
Use approved construction type or materials.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
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.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Smoke Deficiencies
Provide properly protected cooking facilities.
Oct 27, 2023Routine29
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Oct 27, 2023Complaint1
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Aug 1, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 10, 2021Routine19
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish policies and procedures for medical documentation.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Ownership & Operations
Who Operates This Facility
Devonshire Oaks Nursing Center
for profit
Ownership & Management
Owners
St. Therese Convalescent Hospital ,INC.
Owner · Organization
Cabanayan, Danilo
Owner
Cabanayan, Loreta
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
14 reviews from families & visitors
Official Website
Visit devonshireoaksnc.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby Alternatives
Gordon Manor
1.5 miAssisted Living · Redwood City, CA
Palm Villas
1.5 miAssisted Living · Redwood City, CA
Kensington Place Redwood City
2.2 miAssisted Living · Redwood City, CA
Peninsula Elderly Care Home-Laurel LLC
2.5 miAssisted Living · San Carlos, CA
San Carlos Elms
2.8 miAssisted Living · San Carlos, CA
Vista Terrace of Belmont
4.1 miAssisted Living · Belmont, CA