Nursing homes › California › Devonshire Care Center
1350 East Devonshire Avenue, Hemet, CA 92544 · 9519252571 · 99 certified beds
Per CMS filings, this facility is affiliated with Genesis Healthcare, a group operating 185 facilities in 18 states. Group record: average rating 2.4/5, 25 abuse citation icons, 18 facilities on the Special Focus list, $7,901,461 in federal fines. This facility rates below its group average (2.4/5).
Total nurse staffing: 3.88 (California median: 4.24). RN hours: 0.41. Weekend total: 3.63. Nursing staff turnover: 47%.
All-time on record: 73 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-20 | Provide and implement an infection prevention and control program. | E | complaint | 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. | E | complaint | corrected 2026-04-21 |
| 2026-04-01 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | 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. | D | complaint | corrected 2026-02-02 |
| 2025-08-22 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | 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. | D | complaint | corrected 2025-07-31 |
| 2025-07-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | 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. | E | complaint | corrected 2025-07-03 |
| 2025-07-02 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | complaint | corrected 2025-07-03 |
| 2025-07-02 | Implement a program that monitors antibiotic use. | E | complaint | 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. | E | complaint | corrected 2025-06-10 |
| 2025-06-04 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-06-10 |
| 2025-06-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-06-10 |
| 2025-05-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | E | Health | 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. | E | complaint | corrected 2025-04-16 |
| 2025-04-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | 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. | E | complaint | corrected 2025-04-16 |
| 2025-04-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | 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. | E | Health | corrected 2025-04-16 |
| 2025-04-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-16 |
| 2025-04-14 | Reasonably accommodate the needs and preferences of each resident. | D | Health | 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. | D | Health | corrected 2025-04-16 |
| 2025-04-14 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-16 |
| 2025-04-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-04-16 |
| 2025-04-14 | Assist a resident in gaining access to vision and hearing services. | D | Health | 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. | D | Health | corrected 2025-04-16 |
| 2025-04-14 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-04-16 |
| 2025-04-14 | Observe each nurse aide's job performance and give regular training. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-04-16 |
| 2025-04-01 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | complaint | corrected 2025-04-16 |
| 2025-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-04-04 |
| 2025-03-26 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-04-04 |
| 2025-03-12 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | E | complaint | corrected 2025-02-10 |
| 2025-02-10 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-02-10 |
| 2025-02-04 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-02-06 |
| 2025-02-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-02-06 |
| 2025-02-04 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-02-06 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-02 | Fine | $10,364 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BQ OPERATIONS HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/01/2021 |
| 9560 PICO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| BOLD QUAIL HOLDINGS LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| NEWGEN LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| PICO AR LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| ROBIN, AARON | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| TRESS, AVROHOM | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 02/01/2021 |
| GANTA, SANYASI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2024 |
| SHAW, PAMELA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2021 |
| WHITEHEAD, DWAYNE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/07/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056095. Corrections: data@carerecords.org.