Delmar Gardens West

Inspection history (30)

• April 11, 2025 · E

  Citation F0759

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• April 11, 2025 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• April 11, 2025 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• April 11, 2025 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• April 11, 2025 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• April 11, 2025 · D

  Citation F0694

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0694 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• April 11, 2025 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• April 11, 2025 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2025-04-11 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-05-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-11.GOV

• October 9, 2024 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-10-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-10-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• August 21, 2024 · F

  Citation F0925

  Federal surveyors cited this nursing home on 2024-08-21 under CMS tag F0925 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2024-10-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-21.GOV

• August 21, 2024 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2024-08-21 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-10-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-21.GOV

• August 21, 2024 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2024-08-21 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-10-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-21.GOV

• April 29, 2024 · D

  Citation F0740

  Federal surveyors cited this nursing home on 2024-04-29 under CMS tag F0740 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. The deficiency was recorded as corrected on 2024-06-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-29.GOV

• April 29, 2024 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2024-04-29 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2024-06-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-29.GOV

• April 2, 2024 · J

  Citation F0678

  Federal surveyors cited this nursing home on 2024-04-02 under CMS tag F0678 (CMS scope/severity J: isolated, immediate jeopardy) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2024-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-02.GOV

• November 17, 2023 · E

  Citation F0658

  Federal surveyors cited this nursing home on 2023-11-17 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-12-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-17.GOV

• November 17, 2023 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2023-11-17 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-17.GOV

• November 17, 2023 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2023-11-17 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-12-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-17.GOV

• November 17, 2023 · E

  Citation F0550

  Federal surveyors cited this nursing home on 2023-11-17 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-12-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-17.GOV

Penalties

Total fines on file: $22,623

Staffing

Latest: 3.59 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Corporation

1. Parent organization: Delmar Gardens Enterprises INC

   parent · PAC 5395706733