Devonshire Care Center

Name: Devonshire Care Center: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Hemet, Riverside County, California · CCN 056095 · For-profit (LLC) · part of Genesis Healthcare (184 facilities, chain average 2.4 stars)

CMS rates Devonshire Care Center 1 of 5 overall as of August 2026. 99 certified beds, 86 residents a day on average. 73 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $10,364.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★★☆☆☆ 2 of 5
Quality measures	★★★☆☆ 3 of 5
Quality: long-stay / short-stay	4 / 3 of 5

Staffing

Total nurse staffing	3.88119 hours per resident per day
Registered nurses	0.41168 hours per resident per day
Weekend total	3.63229 hours per resident per day
Nursing staff turnover	46.7% (registered nurses 62.5%)
Administrators who left	1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-04-20 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-21
2026-04-20 complaint survey	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2026-04-21
2026-04-01 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-08
2026-01-09 complaint survey	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-02-02
2025-08-22 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-08-30
2025-07-29 complaint survey	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-07-31
2025-07-02 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	J Immediate jeopardy to resident health or safety; isolated	Deficient, Provider has date of correction 2025-07-03
2025-07-02 complaint survey	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · tag F0726	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-07-03
2025-07-02 complaint survey	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-07-03
2025-07-02 complaint survey	Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-07-03
2025-06-04 complaint survey	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-06-10
2025-06-04 complaint survey	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-06-04 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-06-10
2025-05-21 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-05-27
2025-04-14	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-16
2025-04-14 complaint survey	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-16
2025-04-14 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-16
2025-04-14 complaint survey	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	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 Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · tag F0730	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	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. Pharmacy Service Deficiencies · tag F0761	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-14	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-04-01 complaint survey	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-16
2025-03-26 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-04-04
2025-03-26 complaint survey	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-04-04
2025-03-12 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-03-31
2025-02-10 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-02-10
2025-02-10 complaint survey	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-10
2025-02-04 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-02-06
2025-02-04 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-06
2025-02-04 complaint survey	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-06
2025-02-04 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-06
2025-02-04 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-02-06
2024-11-14 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-11-26
2024-10-28 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-11-08
2024-07-17 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-07-23
2024-07-16 complaint survey	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-07-17
2024-07-16 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-07-17
2024-04-04 complaint survey	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-04
2024-04-04 complaint survey	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-04
2024-04-04 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-04-04
2024-03-14	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-15
2024-03-14	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-15
2024-03-14	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-15
2024-03-14	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-03-15
2023-10-18 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-03
2023-10-18 complaint survey	Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-11-03
2023-09-01 complaint survey	Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · tag F0840	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-10-06
2021-05-21	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-06-21
2021-05-21	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. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	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 Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · tag F0661	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21
2021-05-21	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2021-06-21

Fines and payment denials

Date	Penalty	Amount
2025-07-02	Fine	$10,364

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Bq Operations Holdings LLC Organization	5% or greater direct ownership interest	100%	2021-02-01
Bold Quail Holdings LLC Organization	5% or greater indirect ownership interest	—	2021-02-01
Newgen LLC Organization	5% or greater indirect ownership interest	—	2021-02-01
1350 E. Devonshire Avenue Property, LLC Organization	adp of the snf	—	2021-02-01
Bq Realty Holdings LLC Organization	adp of the snf	—	2020-02-01
Robin, Aaron Individual	5% or greater indirect ownership interest	—	2021-02-01
Tress, Avrohom Individual	5% or greater indirect ownership interest	—	2021-02-01
Ganta, Sanyasi Individual	adp of the snf	—	2024-12-01
Shaw, Pamela Individual	adp of the snf	—	2021-02-01
Whitehead, Dwayne Individual	adp of the snf	—	2024-08-07
Ganta, Sanyasi Individual	operational/managerial control	—	2024-12-01
Shaw, Pamela Individual	operational/managerial control	—	2021-02-01
Whitehead, Dwayne Individual	operational/managerial control	—	2024-08-07

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Devonshire Care Center.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Riverside County.