Delmar Gardens of Smyrna

In the surveyor’s words

From the most serious findings on record at Delmar Gardens of Smyrna, in the surveyor’s own words.

• Actual harm, isolatedF610Aug 10, 2023

  AMENDED 8/31/23 Based on record review, family and staff interviews, and review of the policy titled Abuse, Neglect and Exploitation, Freedom From, the facility failed to thoroughly investigate and follow-up on an allegation of verbal abuse for one of 32 sampled residents (R) (R#53). Actual harm was identified to have occurred on 8/2/23 when Administrations was made aware that R#53 made an alligation of abuse and failed to complete a though investigation. During an interview on 8/9/23 2:54 p.m. with R#53 revealed she is still scared for her life. Findings included: A review of the facility's policy titled, Abuse, Neglect and Exploitation, Freedom From last revised September 2022 indicated, I. Procedure for investigation 1. […]

• No harm, potential for more than minimal, widespreadF880Dec 19, 2024

  Based on observations, staff interviews, record review, and review of the facility's policies titled, Handling of Soiled Linen and Resident Clothing, Isolation Precautions/Transmission Based Precautions, Hand Washing, and Cleaning Guidelines for Resident Care Equipment, the facility failed to ensure infection control procedures were followed. Specifically, the facility failed to ensure clean linen was covered during transport on one of five halls, failed to ensure Transmission Based Precautions (TBP) were followed for one resident (R) (R40) on TBP, failed to ensure a continuous positive airway pressure (CPAP) mask was properly stored when not in use for one R (R85), failed to ensure proper hand hygiene during medication pass, and failed to ensure shared medical equipment was cleaned… […]

• No harm, potential for more than minimal, widespreadF812Aug 10, 2023

  Based on observations, staff interviews, and review of the facility policy titled, All foods stored will be properly labeled according to the following guidelines the facility failed to ensure opened food items in the refrigerator and the dry storage room were properly labeled and dated; and failed to dry cleaned dishes appropriately. This deficient practice affects 98 of 100 residents. Findings included: During an initial kitchen tour with the Dietary Cook AA on 8/8/23 at 9:40 a.m., the following was identified: observation of the refrigerator revealed one medium size clear container of various chopped and shredded vegetable was not dated; one half empty 5-pound container of pimento cheese to was not labeled with an opened date; one opened 2-pound butter was not labeled with an opened… […]

• No harm, potential for more than minimal, patternF761Feb 12, 2026

  Based on observations, staff interviews, record review, and review of the facility policy titled, Medication Expiration Guidelines, the facility failed to discard expired supplements in two of two medication rooms and on two of four medication carts. This deficient practice created the potential for expired or improperly stored supplements to be used in resident care, placing residents at risk for compromised safety, potential adverse consequences. Findings Include:Review of the facility's policy Medication Expiration Guidelines revealed under section Oral Guidelines: If the liquid is dispensed in the manufactures bottle, the expiration date is the manufacturer's expiration date printed on the actual medication bottle.Observation on [DATE] at 11:34 AM of two of two medication storage rooms… […]

• No harm, potential for more than minimal, patternF584Aug 10, 2023

  Based on observations, record review, staff interviews, the facility failed: (1) to ensure that comfortable water temperatures were maintained for 11 of 66 resident rooms (Rooms 9222, 9224, 9225, 9226, 9227, 9228, 9229, 9230, 9231, 9232, and 9233); (2) to ensure that the facility was maintained in a safe, clean, and comfortable home-like environment for three of 66 resident rooms (rooms [ROOM NUMBER]) related to unlabeled and unbagged contoured bedpan, fracture bedpan, graduated urinal containers, specimen collector pans, wash basins, and a dirty bedside toilet commode. Findings included: 1. […]