Delmar Gardens of Smyrna
404 King Springs Village Pkwy · Smyrna, GA · 30082 · 7704324444
120 certified beds For profit - Corporation Chain: Delmar Gardens Part of a CCRC
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.39 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 1 · $23,537 |
Inspection citations (23 in the current record)
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Potential for harm · D February 12, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · E February 12, 2026
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.
Corrected April 2, 2026 · Pharmacy Service
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Potential for harm · D August 6, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 6, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 19, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · D December 19, 2024 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · D December 19, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · D December 19, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · D December 19, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 2, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 2, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 2, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 2, 2025 · Pharmacy Service
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Potential for harm · F December 19, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 2, 2025 · Infection Control
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Actual harm · G August 10, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 10, 2023 · found via complaint
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.
Corrected September 28, 2023 · Resident Rights
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Potential for harm · E August 10, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 10, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 10, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 28, 2023 · Quality of Life and Care
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Potential for harm · D August 10, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 28, 2023 · Quality of Life and Care
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Potential for harm · F August 10, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 28, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 10, 2023 | Fine | $23,537 |
| August 10, 2023 | Payment Denial | 16 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 115330 · certified since January 9, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.