Starfile

Starfile / California

DEVONSHIRE OAKS NURSING CENTER

3635 JEFFERSON AVENUE, REDWOOD CITY, CA 94062 · CCN 555813

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★★☆ 4
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
38
Avg residents/day
30.5
Phone
6503669503

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-01-17615.69.5-9.6 better
22023-10-271417.49.8-3.4 better
32021-11-10817.19.3-9.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Nutrition and dietary1
Pharmacy service1
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)
RN staffing (reported)
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (28)1 actual harm

  1. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-01-17 · Health · corrected 2025-03-01

    Potential for more than minimal harm

  2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-17 · Health · corrected 2025-03-01

    Potential for more than minimal harm

  3. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-17 · Health · corrected 2025-03-01

    Potential for more than minimal harm

  4. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-17 · Health · corrected 2025-03-01

    Potential for more than minimal harm

  5. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-17 · Health · corrected 2025-03-01

    Potential for more than minimal harm

  6. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-01-17 · Health · corrected 2025-03-01

    Potential for more than minimal harm

  7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-27 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  8. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-10-27 · Health · corrected 2023-11-29

    Potential for more than minimal harm

  9. DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-27 · Health · corrected 2023-10-27

    Potential for more than minimal harm

  10. DF0584Honor 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.2023-10-27 · Health · corrected 2023-10-27

    Potential for more than minimal harm

  11. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-27 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  12. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-10-27 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  13. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-27 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  14. EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-10-27 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  15. DF0732Post nurse staffing information every day.2023-10-27 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  16. DF0761Ensure 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.2023-10-27 · Health · corrected 2023-10-30

    Potential for more than minimal harm

  17. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-10-27 · Health · corrected 2023-11-02

    Potential for more than minimal harm

  18. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-10-27 · Health · corrected 2023-11-02

    Potential for more than minimal harm

  19. EF0803Ensure 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.2023-10-27 · Health · corrected 2023-11-28

    Potential for more than minimal harm

  20. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-10-27 · Health · corrected 2023-11-23

    Potential for more than minimal harm

  21. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-27 · Health · corrected 2023-11-24

    Potential for more than minimal harm

  22. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-01 · Health · corrected 2023-09-01

    Actual harm

  23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-11-10 · Health · corrected 2021-12-14

    Potential for more than minimal harm

  24. EF0759Ensure medication error rates are not 5 percent or greater.2021-11-10 · Health · corrected 2021-12-14

    Potential for more than minimal harm

  25. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2021-11-10 · Health · corrected 2021-12-14

    Potential for more than minimal harm

  26. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-11-10 · Health · corrected 2021-12-14

    Potential for more than minimal harm

  27. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-11-10 · Health · corrected 2021-12-14

    Potential for more than minimal harm

  28. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-11-10 · Health · corrected 2021-12-14

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CABANAYAN, DANILOIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2003-11-01
CABANAYAN, LORETAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%2003-07-01
CABANAYAN, DANILOIndividualOPERATIONAL/MANAGERIAL CONTROL2021-09-01
CABANAYAN, DANILOIndividualCORPORATE OFFICER2003-11-01
CABANAYAN, DANILOIndividualW-2 MANAGING EMPLOYEE2003-07-01
CABANAYAN, DANILOIndividualGENERAL PARTNERSHIP INTEREST2003-11-01
ST. THERESE CONVALESCENT HOSPITAL ,INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST2003-07-01

Other facilities in REDWOOD CITY

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.