Delmar Gardens of Gwinnett
Lawrenceville, Georgia · CCN 115350
9 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 36
- Surveys
- 9
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 67
- Ownership
- For profit - Corporation
- Chain
- DELMAR GARDENS
- County
- Gwinnett
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=16, floor 20).
Last survey on record
Aug 14, 2025
452 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.49 | 3.30 |
| Registered-nurse hours per resident day | 0.44 | — |
| Annual nurse turnover | 44.9% | 46.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1062.5% | E16.3% | F531.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6071×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F6441×
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- F6841×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Delmar Gardens of Gwinnett, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Aug 14, 2025
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),… […]
- No harm, potential for more than minimal, widespreadF812Apr 16, 2024
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. […]
- No harm, potential for more than minimal, widespreadF814Apr 16, 2024
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. […]
- No harm, potential for more than minimal, widespreadF908Apr 16, 2024
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. […]
- No harm, potential for more than minimal, widespreadF812Dec 4, 2022
Based on observations, interviews, and review of the facility policy titled, Trayline Refrigerated Leftover Storage, the facility failed to maintain a clean and sanitary kitchen. Specifically, the facility failed to ensure that food items had an open date and were properly labeled; failed to have the meat slicer and floor stand mixer cleaned and free from food debris to prevent cross contamination; and failed to properly use the three compartments sink to prevent food borne illness. The deficient practice had the potential to affect 56 out of 58 residents (R) receiving an oral diet. Findings include: 1. Review of facility policy titled Trayline Refrigerated Leftover Storage revised 1/1/2014, revealed procedure 2. Date container with use by date. 3. […]
Read 20 findings in full →The most serious and the most recent: 20 of 36 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 14, 2025Standard4 findings
- Apr 16, 2024Standard and complaint8 findings
- Dec 4, 2022Standard4 findings
- Oct 3, 2019Standard4 findings
- Jul 26, 2018Standard4 findings
- Jul 7, 2017Standard2 findings
- Sep 11, 2015Standard1 finding
- Jun 13, 2013—4 findings
Show the 1 earlier survey
- Dec 15, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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