Devonshire Care Center

Nursing Home · Hemet, CA

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number056095

Contact & location

1350 East Devonshire Avenue
Hemet, CA 92544
Riverside County
Phone
(951) 925-2571
ZIP code
92544 – all care providers

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Facility details

Certified beds
99
Residents per day
86.4 (87% occupied)
Ownership
For profit - Limited Liability company
Legal name
Devonshire Care Center, LLC
Chain
Genesis Healthcare (184 facilities, avg 2.4★)
Medicare certified since
September 5, 1969
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.3
Quality measures★★★★★ 3/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.88 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.41 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.03 (state 1.20 · U.S. 0.86)
Nurse aides
2.44 (state 2.65 · U.S. 2.32)
Weekend total
3.63 (state 4.09 · U.S. 3.42)
Nursing staff turnover
46.7 (state 36.7 · U.S. 45.8)%
RN turnover
62.5 (state 38.1 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
April 14, 2025
Health deficiencies (last cycle)
22.0 (state 15.7 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
64 health · 16 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-21
2026-04-20 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-21
2026-04-01 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-08
2026-01-09 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-02
2025-08-22 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-30
2025-07-29 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-31
2025-07-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-07-03
2025-07-02 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-07-02 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-07-02 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-03
2025-06-04 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-06-04 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-06-04 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-10
2025-05-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 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.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-14 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-04-01 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-16
2025-03-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-04
2025-03-26 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-04
2025-03-12 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-31
2025-02-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2025-02-10 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-10
2025-02-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-02-04 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-02-04 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-02-04 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2025-02-04 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-06
2024-11-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-26
2024-10-28 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-08
2024-07-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-07-16 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-17
2024-07-16 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-17
2024-04-04 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-04
2024-04-04 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-04
2024-04-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-04

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $10,364 in fines.

DateTypeAmount
2025-07-02Fine$10,364

Ownership & management

NameRoleSince
BQ Operations Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Bold Quail Holdings LLC (organization)5%+ Indirect Ownership Interest
Newgen LLC (organization)5%+ Indirect Ownership Interest
Robin, Aaron (individual)5%+ Indirect Ownership Interest
Tress, Avrohom (individual)5%+ Indirect Ownership Interest
1350 E. Devonshire Avenue Property, LLC (organization)Administrator · NOT APPLICABLE
BQ Realty Holdings LLC (organization)Administrator · NOT APPLICABLE
Ganta, Sanyasi (individual)Administrator · NOT APPLICABLE
Shaw, Pamela (individual)Administrator · NOT APPLICABLE
Whitehead, Dwayne (individual)Administrator · NOT APPLICABLE
Ganta, Sanyasi (individual)Operational/managerial Control · NOT APPLICABLE
Shaw, Pamela (individual)Operational/managerial Control · NOT APPLICABLE
Whitehead, Dwayne (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Devonshire Care Center?

Devonshire Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Devonshire Care Center have?

It has 99 certified beds and cares for about 86 residents per day.

Has Devonshire Care Center been fined?

Yes. CMS lists 1 penalty totaling $10,364 in the last three years.

Who owns Devonshire Care Center?

It is part of Genesis Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Devonshire Care Center?

(951) 925-2571. The facility is located at 1350 East Devonshire Avenue, Hemet, CA 92544.

Other nursing homes in Hemet

Compare all nursing homes in Hemet, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.