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 18 of 18 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  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 October 4, 2024. Found during a standard inspection.

    A waiver was granted (March 1, 2025).

  12. 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).

  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 October 4, 2024. Found during a standard inspection.

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

  14. 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).

  15. 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).

  16. 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).

  17. 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 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 proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, 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 20, 2024).

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.