Delmar Gardens Of Gwinnett

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

58.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 137 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 44 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.43 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 67 beds and averages 60.5 residents a day — about 90% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 3.12 hrs/resident/day on weekends vs 3.64 on weekdays — 14% thinner on weekends. RN hours go from 0.54 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · F2025-08-14 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, and review of the Payroll-Based Journal (PBJ) Staffing Data [NAME] Report 1705D Fiscal Year (FY) Quarter 2 (January 1 - March 31), the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for three days in February 2025, and one day in March 2025.Findings include:Review of the most recent PBJ Staffing Data Report CASPER Report 1705D FY Quarter 1 2024 (January 1 - March 31) revealed the facility triggered for No RN Hours which indicated four or more days within the Quarter with no RN hours for the following dates: 2/1/2025, 2/15/2025, 2/16/2025, and 3/1/2025.Review of the payroll Employee Timecards, revealed Registered Nurse (RN) CC worked on 2/15/2025 for (6.0 hours), 2/1/2025 (0.00 hours), 2/16/2205 (0.00 hours), and 3/1/2025 (0.00 hours).Review of the Daily Staffing Schedule dated 2/1/2025, 2/16/2025, and 3/1/2025 revealed there were no RNs scheduled for 1st, 2nd, or 3rd shift.Review of the Facility Two-Week Staffing Grid for 2/1/2025 through 2/15/2025, 2/16/2025…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-14 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, the facility failed to follow the care plan for one of 33 sampled residents (R) (R4) related to oxygen (O2) therapy. In addition, the facility failed to develop a comprehensive, person-centered care plan for one of 33 sampled Rs (R55) related to Percutaneous Intravenous Centralized Catheter (PICC) line dressing.Findings include: 1. Review of the Physicians Orders for R4 documented oxygen per nasal cannula (NC) at (4) liters per minute (LPM), continuous. During an observation on 8/12/2025 at 10:18 am and 8/13/2025 at 10:26 am revealed R4's O2 concentration was set at 5 LPM. Review of the care plan revealed R4 has potential for complications of signs and symptoms related to a diagnosis of COPD, asthma, and chronic respiratory failure; R4 is O2 dependent with interventions to administer oxygen as order by Doctor of Medicine (MD). Interview on 8/14/2025 at 11:59 am with the Director of Nursing (DON) revealed she expected her staff to follow the resident care plan and when it is updated as well. 2. A review of R55's care plan last edited…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, record review, and review of the facility's policies titled, 'Name of Facility' Infusion Policy and Procedure Manual-Midline/Central Line Dressing Change and Physician Orders, Following, the facility failed to ensure physician orders were followed for two of 33 sampled residents (R) (R55 and R6). The deficient practice had the potential for R55 and R6 to experience medical complications. Findings include: Review of the facility's policy titled 'Name of Facility' Infusion Policy and Procedure Manual- Midline/Central Line Dressing Change last revised June 2023 revealed under Considerations: .4) Gauze dressings are changed every 2 days. 5) Transparent semi-permeable membrane (TSM) dressing is changed every 5 to 7 days. Review of the policy titled Physician Orders, Following effective date June 29, 2021, revealed under Purpose: It is the policy of the community to ensure that all Licensed Professional Nurses (RN/LPN/LVN) and other Healthcare Professionals, follow…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility policy titled, Oxygen Administration, the facility failed to deliver oxygen (O2) per physician order for one of 4 residents (R) (R4) receiving O2 therapy. The deficient practice had the potential to cause respiratory distress.Findings include:Review of the facility policy titled Oxygen Administration dated July 2016 revealed under Note: You must have a physician's order to apply oxygen.Under ADMINISTRATION OF CANNULA: .5. Adjust flow to ordered rate. Review of the electronic medical record (EMR) for R4 revealed she was admitted to the facility with diagnoses including chronic obstructive pulmonary disease (COPD) (airflow blockage and breathing problems), asthma, and chronic respiratory failure (insufficient oxygen),and unspecified whether with hypoxia (lack of oxygen supply) or hypercapnia (increase in carbon dioxide). Review of the most recent quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed R4 had a Brief…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-04-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and review of the facility's policies titled, Food Storage Dry/Refrigerated/Frozen and Labeling/Dating Foods (Date Marking), the facility failed to ensure opened food items were properly dated and labeled in the cooler, freezer, and dry food pantry. In addition, the facility failed to ensure the oven and ice machines were clean, all dietary staff were wearing appropriate hair covering, and the recipe for pureed food was followed. This deficient practice had the potential to affect 58 of 58 residents who received an oral diet from the kitchen. Findings include: Review of the facility's policy titled Food Storage Dry/Refrigerated/Frozen, 2014 Edition, under Procedure: 1. General storage guidelines to be followed: revealed, All food items will be labeled Discard food that has passed the expiration date and discard food that has been prepared in the facility after seven days of storing under proper refrigeration. Review of the facility's policy titled Labeling/Dating…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-16 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and record review, the facility failed to ensure one of two dumpsters had a plug in place and the surrounding area around the dumpster was free of trash and debris. This deficient practice had the potential to affect all residents. The census was 58 residents. Findings include: During an observation of the dumpster on 4/14/2024 at 10:15 am with the Dietary Manager (DM) revealed, the dumpster on the right side had the appropriate plug. However, the dumpster on the left was unplugged and did not have a cap on it. There was trash observed on the ground in the back of the dumpster including soiled diapers. The DM began to pick the trash up at this time and put it in the dumpster. During an interview on 4/15/2024 at 5:50 pm the Administrator revealed she expect staff to have a system in place to take care of problems. This process should be taken to the Quality Assurance (QA) meeting. During an observation of the dumpsters on 4/16/2024 at 10:00 am the Maintenance Director (MD) revealed the dumpsters would be changed out that day. (MD) verified the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-04-16 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and record review, the facility failed to ensure the flat top oven was working. Specifically, the facility failed to ensure the oven door would close efficiently to prepare cooked meals. This deficient practice had the potential to affect 58 of 58 residents who received an oral diet from the kitchen. Findings include: Record review of the Nursing Home Maintenance work orders from 2/14/2024 through 4/13/2024 revealed there was no order to repair the oven located in the kitchen. During an interview and tour of the kitchen on 4/13/2024 at 8:30 am with the Chef, the flat top stove oven was observed not clean with old grease and food particles in the oven. There was a towel pushed between the top of the door and stove which was used to keep the door closed. An interview with the Chef revealed the door was broken and that they would remove the towel when the oven was used. The Chef stated he had discussed the oven door with the Maintenance Director (MD). During an interview on 4/15/2024 at 11:00 am with the MD, revealed he fixed the broken oven and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-16 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of the facility's policy titled, Pre-admission Screening and Resident Review (PASARR) Program the facility failed to ensure a Level II PASARR was conducted for one of two sampled residents (R) (R21) reviewed for PASARR. Specifically, the facility failed to refer R21 to the appropriate state-designated authority for a Level II evaluation following a mental illness diagnosis. Findings include: Review of the undated facility's policy titled, Pre-admission Screening and Resident Review (PASARR) Program revealed It is the policy of the facility to assure that all residents admitted to the facility receive a Pre-admission Screening and Resident Review, in accordance with State and Federal Regulations. 3. Preadmission Screening for individuals with a mental disorder. The facility will not admit any new residents with a. Mental disorder, unless the State mental health authority has determined, based on an independent physical and mental evaluation performed by a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-04-16 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, and review of the facility's policy titled Care Plan Conference, Interdisciplinary, the facility failed to follow the individualized care plan for monitoring for side effects of anticoagulant drug use for two residents (R) (R27 and R31). The sample size was 25. Findings include: Review of the facility's policy titled Care Plan Conference, Interdisciplinary revised 5/2021 indicated the STANDARD is an Interdisciplinary Care Planning Conference identifies resident needs and establishes obtainable goals. An appropriate plan of action is designed to ensure optimal levels of activity and independence for all residents. The purpose is the resident care plan is conducted according to the procedures established. Number 5. Care plan is completed in the RAI section of the electronic health record. Procedure Number 10. The care plan coordinator or the appropriate discipline updates the resident care plan and the resident profile at each Interdisciplinary Conference. 1. Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-16 · tag F0745 — failed to provide medically-related social services — isolated
  Provide medically-related social services to help each resident achieve the highest possible quality of life.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff and resident interviews, record review, review of the facility's policy titled Treatment/Devices to Maintain Hearing/Vision and review of the facility's document titled Job Description Director of Social Service, the facility failed to provide three out of five sampled residents (R) (R21, R30, and R7) reviewed for adequate assistance and support from social service with receiving vision care. In addition, R21 was hard of hearing and had not been provided assistance by an audiologist. The failure to adequately address the residents' concern has the potential to affect their quality of life. Findings include: Review of the facility policy titled Treatment/Devices to Maintain Hearing/Vision dated April, 2024 indicated: It is the policy of the facility to ensure it identifies and provides needed care and services that are resident centered, in accordance with the resident's preferences, goals for care and professional standards of practice that will meet each resident's physical, mental, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to DELMAR GARDENS — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA