All citations for Delmar Gardens on the Green

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 on the Green

Last standard health inspection on record

October 4, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 30 citations

  1. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  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 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 4, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  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 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  17. 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 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  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 4, 2024. Found during a standard inspection.

    A waiver was granted (March 1, 2025).

  20. 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 October 4, 2024. Found during a standard inspection.

    A waiver was granted (March 1, 2025).

  21. 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 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  22. 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 October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

  24. 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 October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 11, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.