Devonshire Oaks Nursing Center

    3635 Jefferson Ave, Redwood City, CA, 94062
    2.6 · 12 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Kind staff but unsafe, understaffed

    I appreciated that many nurses and caregivers - and staff like social worker Olga, director Bernadette and A. Chand - were kind and competent, and the initial hospital-to-facility transition felt positive. But the stay felt unsafe: wrong medication and delays, chronic understaffing (sometimes 1 staff for 12 patients), PT didn't coach, and management/DON lacked compassion and professionalism. The building was very cold with no heat and insufficient blankets, food was mostly canned with no fresh fruit, personal hygiene items were missing on arrival, bathrooms were shared by four people, and staff were hard to reach. Grateful for the caring aides, but overall very poor quality of care - I do not recommend.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    2.58 · 12 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.5
    • Staff

      2.6
    • Meals

      1.0
    • Amenities

      1.0
    • Value

      2.6

    Pros

    • Compassionate caregivers
    • Competent and caring social worker (Olga)
    • Supportive director (Bernadette)
    • Staff member A Chand noted positively
    • Family-like, loving care reported
    • Positive transition support from hospital
    • Nurses generally available
    • Clean appearance noted
    • Helpful staff

    Cons

    • Heating problems — very cold/no heat
    • Insufficient blankets
    • Lack of fresh fruit; mostly canned foods
    • No personal hygiene items on arrival (toothbrush/toothpaste)
    • Medication delays
    • Medication errors (wrong medication reported)
    • Staffing shortages (example: 1 staff for 12 patients)
    • Physical therapy inadequate (PT did not coach patient)
    • Shared bathrooms with multiple residents (4 people)
    • Difficulty reaching staff
    • Unsafe care reported
    • Lack of compassion/professionalism from administration and director of nursing
    • Management blamed pharmacist for issues
    • Very poor quality of service reported by some
    • Limited activities — 'not much to do'
    • Inconsistent staff warmth — 'lukewarm' staff

    Summary review

    Overall sentiment across these review summaries is mixed, with a sharp contrast between praise for individual caregivers and serious systemic problems that affect resident comfort and safety. Multiple reviewers highlight compassionate, competent staff members — notably social worker Olga, director Bernadette, and a staff member identified as A Chand — and describe personal, family-like care and a smooth transition from hospital to the facility. Several comments emphasize gratefulness and blessing for the care received, and some reviewers reported that nurses and other staff were available and helpful. The facility’s appearance was described as clean by at least one reviewer.

    However, the positive comments are offset by recurring and significant concerns about basic living conditions and clinical safety. Heating issues were reported more than once, with descriptions of the environment being very cold and claims that there was no heat, while provided blankets were insufficient. These are basic comfort and safety concerns that recur in multiple summaries. Food quality and variety are questioned: reviewers noted a lack of fresh fruit and reliance on canned foods. Incoming residents reportedly arrived without basic personal hygiene supplies like toothbrushes and toothpaste, indicating problems in admission preparation or communication with families.

    Medication management and clinical care present critical red flags. Reviewers reported medication delays and at least one instance of a wrong medication being given. These issues, combined with comments describing care as unsafe, suggest potentially serious lapses in medication administration and oversight. Physical therapy was also criticized in one review for not providing active coaching, indicating variability in rehabilitation services. Staffing levels and accessibility are another clear theme: reports of severe staffing shortages (for example, one staff member for 12 patients), difficulty reaching staff, and inconsistent staff warmth (described as 'lukewarm') point to capacity and morale issues that likely affect timeliness and quality of care.

    Facility infrastructure and daily living arrangements raise additional concerns. Shared bathrooms for four people were specifically noted, which may affect privacy and infection-control perceptions. Activities appear limited according to at least one review stating there was 'not much to do,' an important consideration for quality of life in a long-term or post-acute setting.

    Management and professional culture receive mixed appraisals. While some leadership (e.g., director Bernadette) earned praise, other reviewers reported a lack of compassion and professionalism from administration and the director of nursing, with management reportedly blaming an external pharmacist for internal medication problems. Such comments reflect potential issues in accountability, communication, and organizational culture that could undermine trust even when frontline staff are praised.

    In summary, the reviews depict a facility where individual staff members can and do provide compassionate, family-like care, and certain named employees receive strong positive mentions. At the same time, there are multiple, serious, and recurring concerns about environment (heat), basic supplies (blankets, hygiene items), food quality, medication safety and timeliness, staffing levels, therapy effectiveness, and management responsiveness. The pattern suggests variability in resident experience — some receive excellent, attentive care, while others encounter systemic failures that compromise comfort and safety. These inconsistencies are important for prospective residents and families to consider and for facility leadership to address as priorities if they are to improve overall quality and reliability of care.

    Location

    Map showing location of Devonshire Oaks Nursing Center

    About Devonshire Oaks Nursing Center

    Devonshire Oaks Nursing Center sits up in the hills of Redwood City near hospitals like Sequoia Hospital, Stanford Hospital, and Mills Peninsula Hospital, and it's got this mix of studio apartment-style rooms set up for memory care with safety features like sprinkler systems and handicap access, so folks get help with both safety and comfort, while the place offers simple things like cable TV, WiFi, housekeeping, washer and dryer use, and laundry services, and the dining room is always serving meals. The building stays open all day and night, with walk-in family visits allowed any time, though if you want a tour the staff would rather you call ahead Monday through Friday in business hours, but honestly, you can get in after hours if you set it up. There are fitness rooms, activities and game spaces, and even a salon/barbershop, so folks don't just sit around, and the staff puts together memory care programs, social activities, crafts, music, education, and wellness classes, all with therapists, dietitians, and nurses on hand if needed, and if residents want to see a specialist or need to get to the doctor, transportation is offered. The center does wound care, pain management, stroke recovery, and has therapy for speech, occupational, and physical needs, which helps residents with more complex health problems like heart failure, diabetes, MS, or even amputation, and they have a lot of folks living with memory loss who need special attention. Nursing assistants and personal care helpers stay on round the clock, working to keep people safe and healthy, with long-term and short-term rehab and respite care, and they use software called Ensocare Choice that helps families and patients stay in the loop on decisions and care plans, so nobody feels lost. They keep everything clean and supplied with PPE, watching out for COVID-19, and there's a lot of talk about having a "family feeling of care," since the staff works to be loving and responsive, with the goal to give respect, dignity, and a safe, calm spot for elders. The center has options for people using long-term care insurance, and families needing support for caregiving or planning can get information from the team. While the place holds a five-star nursing home quality rating for care, folks online have mixed feelings, and the reviews average out to about 2.6 out of 5, but the staff try their best and seem focused on keeping everyone's physical, emotional, and social needs covered, whether a person needs a lot of help or a little.

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