Inspection Reports for Delmar Gardens of Gwinnett Senior Living
3100 Club Dr, Lawrenceville, GA 30044, GA, 30044
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Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 12, 2025
Visit Reason
The purpose of this visit was to investigate intake# GA50005166 and conduct the compliance inspection.
Findings
No rule violations were cited as a result of this visit.
Complaint Details
Investigation of intake# GA50005166; no rule violations were found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 5, 2025
Visit Reason
The purpose of this visit was to investigate intake number #GA50000155. The onsite visit was made on 2/5/25.
Findings
The investigation was completed on 2/26/25 with no rule violations found as a result of this survey.
Complaint Details
Investigation of intake number #GA50000155 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 11, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00250412 with an onsite visit made on 10/11/24.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00250412 was completed with no rule violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 18, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244335 with an onsite visit made to the facility on 3/18/24.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00244335 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
May 26, 2023
Visit Reason
The purpose of this survey was to investigate complaint #GA00234761 during an onsite visit on 5/26/2023.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of complaint #GA00234761 with no rule violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 9, 2023
Visit Reason
The purpose of this visit was to investigate intake GA00232042 and GA00232767 with an onsite visit made on 3/9/23. The investigation started on 3/6/23 and was completed on 3/16/23.
Findings
No rule violations were cited as a result of this inspection.
Complaint Details
Investigation of complaint intakes GA00232042 and GA00232767; no violations found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 26, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00228922 with an onsite visit made on 1/26/23.
Findings
The investigation was completed on 1/26/23 and no rule violations were cited.
Complaint Details
Investigation of intake #GA00228922; no rule violations were found.
Inspection Report
Routine
Deficiencies: 0
Sep 28, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection at Delmar Gardens of Gwinnett.
Findings
An onsite visit was made on 2021-09-28 and the inspection was completed on 2021-09-30. No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 4
Jan 27, 2021
Visit Reason
The purpose of this visit was to investigate intake #GA00210694, which was opened on 2021-01-18 and completed on 2021-01-27.
Findings
The facility failed to adequately address fall risk interventions and care planning for Resident #1, who suffered a fall resulting in a displaced left femur fracture. The care plan was incomplete, direct care staff were not familiar with the care plan, and the resident was left in pain overnight without proper assessment, indicating neglect.
Complaint Details
Investigation of intake #GA00210694 regarding Resident #1's fall and subsequent injury. The complaint was substantiated based on findings of neglect and inadequate care.
Severity Breakdown
SS= D: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Facility's resident care plan failed to address specific behaviors with interventions for Resident #1 who was a fall risk. | SS= D |
| Facility failed to review and share Resident #1's written care plan with direct care staff. | SS= D |
| Facility failed to ensure each resident received adequate and appropriate care in compliance with state law and regulations, specifically Resident #1 was not assessed properly after a fall. | SS= D |
| Facility failed to ensure Resident #1's right to be free from neglect; Resident #1 was left in pain overnight after a fall before staff called 911. | SS= D |
Report Facts
Date of fall: Dec 19, 2020
Date of hospital admission: Dec 20, 2020
Date of surgery: Dec 21, 2020
Staff shift hours: 830
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Named in findings related to failure to assess Resident #1 after fall and failure to review care plan. | |
| Staff D | Named in findings related to assisting Resident #1 after fall and failure to complete assessment. | |
| BB | Interviewed regarding Resident #1's injury and EMS arrival. | |
| Staff B | Interviewed regarding Resident #1's complaint of hip pain and transfer to hospital. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 26, 2020
Visit Reason
The purpose of this inspection was to investigate intake #GA00208741.
Findings
No rule violation was cited as a result of this inspection.
Complaint Details
Investigation began 2020-10-16 and was completed 2020-10-26. No rule violation cited.
Inspection Report
Monitoring
Deficiencies: 0
Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 cases and assess infection control process.
Findings
No specific findings or deficiencies are detailed in the report.
Inspection Report
Complaint Investigation
Deficiencies: 0
Mar 5, 2020
Visit Reason
The purpose of this visit was to investigate intake #GA00202952.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Investigation of intake #GA00202952 found no rule violations.
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 9, 2019
Visit Reason
The purpose of this visit was to investigate intake #GA00198927, with the investigation starting on 2019-08-28 and completing on 2019-09-13.
Findings
No violations were cited as a result of this inspection.
Complaint Details
Investigation of intake #GA00198927 was conducted and completed with no violations cited.
Inspection Report
Complaint Investigation
Deficiencies: 0
Apr 3, 2019
Visit Reason
The purpose of this visit was to investigate complaint GA00195802.
Findings
No rule violations were cited as a result of this investigation.
Complaint Details
Complaint GA00195802 was investigated and found to have no rule violations.
Inspection Report
Follow-Up
Deficiencies: 1
Mar 15, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the (9/18/18) compliance inspection.
Findings
The facility failed to update the Medication Assistance Record (MAR) each time the medication was offered or taken for 2 of 4 sampled residents, specifically Resident #9 and Resident #4, as evidenced by multiple empty cells without staff initials on the MARs.
Severity Breakdown
E: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to update the Medication Assistance Record (MAR) each time medication was offered or taken for Resident #9 and Resident #4. | E |
Report Facts
Medication Administration Record missing initials: 5
Medication Administration Record missing initials: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff L interviewed regarding MAR update procedures |
Inspection Report
Complaint Investigation
Deficiencies: 0
Jan 18, 2019
Visit Reason
The purpose of this visit was to investigate complaint # GA00193334. An onsite visit was made to the facility on 12/19/18, and the investigation was completed on 1/18/19.
Findings
The document is a statement of deficiencies and plan of correction related to the complaint investigation. No specific findings or deficiencies are detailed in the provided text.
Complaint Details
Investigation of complaint # GA00193334 conducted with onsite visit on 12/19/18 and completed on 1/18/19.
Inspection Report
Routine
Deficiencies: 3
Sep 19, 2018
Visit Reason
The purpose of this visit was to conduct a compliance inspection of the assisted living community.
Findings
The inspection found that the facility failed to ensure hot water temperatures did not exceed 120 degrees Fahrenheit, failed to maintain accurate Medication Assistance Records (MAR) for residents, and failed to properly dispose of expired medications.
Severity Breakdown
J: 1
D: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Facility failed to ensure that heated water did not exceed 120 degrees Fahrenheit. | J |
| Community failed to update the Medication Assistance Record (MAR) each time medication was offered or taken for 2 of 8 sampled residents. | D |
| Facility failed to properly dispose of unused medications for 1 of 8 sampled residents, including expired Ranitidine medications. | D |
Report Facts
Hot water temperature: 135
Hot water temperatures: 138
Hot water temperatures: 121
Hot water temperatures: 124
Hot water temperatures: 133
Hot water temperatures: 136
Hot water temperatures: 129
Hot water temperatures: 122
Hot water temperatures: 134
Expired medication dates: 2
Sampled residents with MAR issues: 2
Sampled residents with medication disposal issues: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Present during hot water temperature measurement and stated hot water temperature would be lowered. | |
| Staff H | Present during hot water temperature measurement. | |
| Staff I | Interviewed regarding MAR initials and expired medication disposal; stated staff failed to initial MARs and was unaware of expired medications. |
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