All citations for Delmar Gardens North

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Delmar Gardens North

Last standard health inspection on record

November 17, 2025

Showing 1 to 23 of 23 citations

  1. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  2. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  3. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  4. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  5. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  6. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  7. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of January 8, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2020).

  8. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 8, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2020).

  9. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  10. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 13, 2026).

  11. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  12. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  13. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  14. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  15. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of November 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 1, 2026).

  16. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2023).

  17. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  18. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2023).

  19. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  20. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  21. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of October 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 15, 2023).

  22. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of January 8, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2020).

  23. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 8, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2020).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.