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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Delmar Gardens of Smyrna is a 92-bed community offering independent living, assisted living, memory care, and skilled nursing. Dawn St Fleur manages the facility, which maintains 68% occupancy with private rooms, courtyards, and restaurant-style dining.
Over nine years, the facility recorded 3 deficiencies—0.4 per year, 92% fewer than Georgia’s average of 4.9. A May 2025 follow-up inspection found no deficiencies after January 2025 citations regarding secured outdoor spaces and exit alert systems in the memory care unit were corrected. A May 2021 complaint investigation identified a resident dignity violation resulting in staff termination. No fines or immediate jeopardy findings were issued.
Certified nursing aides deliver 2 hours 35 minutes daily per resident, 20% above state average, with weekend nursing 12% above benchmarks. Total nursing care reaches 3 hours 57 minutes per resident daily, ranking 38th among Georgia facilities. Registered and practical nurse hours run modestly below state levels, reflecting the residential support focus. On-site dining includes preparation by executive chefs with a registered dietitian.
Delmar Gardens accepts Medicare, Medicaid, and private pay, offering 24-hour staffing, rehabilitation services, respite care, and memory care programming.
Prospective residents considering long-term placement will encounter high aide-to-resident ratios and direct care support backed by minimal regulatory history. The facility’s deficiency correction timeline demonstrates responsiveness to compliance matters. Consistent staffing levels support continuity in resident programming across all service levels.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 80th out of 190 homes in Georgia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 24m per day | ▼ 17% State avg: 29m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 54m per day | ▼ 4% State avg: 56m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 15m per day | ▲ 51% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 10m per day | ■ Avg State avg: 3h 6m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 33% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 10m per day | ▼ 50% State avg: 20m per day · National avg: 28m per day |
Higher than the Georgia average: 78.1%Delmar Gardens of Gwinnett is administrated by Ms Helen Smith.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Georgia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 30 | 21 | This facility has 43% more total deficiencies than a typical Georgia nursing home (30 vs. GA avg 21).↑ 43% worse |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 3.3 | 2.3 | This facility has 43% more deficiencies per year than a typical Georgia nursing home (3.3 vs. GA avg 2.3).↑ 43% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Georgia average 3.4
Last Health inspection on Aug 2025
Georgia average 16.6
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 16 citations resulted from standard inspections; and 8 of 16 came from combined inspections (standard and complaint).
100% better than Georgia averageGeorgia average: 0.7
100% better than Georgia averageGeorgia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
101% more staff per resident than Georgia average
14% worse than Georgia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
17 total: 5 full-time employees and 12 contractors.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.6 hoursAssists with medical care and medications.
47 total: 11 full-time employees and 36 contractors.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
67 total: 28 full-time employees and 39 contractors.
67
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,937 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 28 | 39 | 67 | 10,529 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 11 | 36 | 47 | 4,553 | 92 | 100% | 8 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,937 | 92 | 100% | 7.4 |
| Registered Nurse | 5 | 12 | 17 | 1,230 | 92 | 100% | 6.6 |
| Qualified Social Worker | 0 | 4 | 4 | 819 | 68 | 74% | 6.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 691 | 83 | 90% | 8.2 |
| Dietitian | 1 | 0 | 1 | 548 | 67 | 73% | 8.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 515 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 4 | 4 | 502 | 73 | 79% | 4.1 |
| Administrator | 1 | 0 | 1 | 482 | 65 | 71% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 55 | 60% | 8.4 |
| RN Director of Nursing | 1 | 0 | 1 | 460 | 62 | 67% | 7.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 447 | 64 | 70% | 6.8 |
| Nurse Practitioner | 1 | 0 | 1 | 408 | 53 | 58% | 7.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 262 | 68 | 74% | 3.6 |
| Physical Therapy Aide | 0 | 3 | 3 | 250 | 67 | 73% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 78 | 13 | 14% | 6 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 31 | 4 | 4% | 7.8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.3
20% worse than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.9
32% worse than Georgia averageGeorgia average: 17.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.2%
44% worse than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
23.9%
23% worse than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.5%
28% worse than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
52% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.8%
24% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
6.5%
161% worse than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
7.0%
17% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
26.4%
38% worse than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.7%
In line with Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Georgia averageGeorgia average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.43
11% worse than Georgia averageGeorgia average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.08
6% worse than Georgia averageGeorgia average: 1.97
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
8% better than Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
74% better than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.8%
20% better than Georgia averageGeorgia average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.1%
17% better than Georgia averageGeorgia average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.8%
46% worse than Georgia averageGeorgia average: 12.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Georgia averageGeorgia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
51.0%
5% worse than Georgia averageGeorgia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.9%
16% better than Georgia averageGeorgia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
57Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Delmar Gardens of Gwinnett based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #43 / 185Payroll — State benchmarkedThis home is ranked 43rd out of 185 homes in Georgia for payroll. Shows total annual staff payroll benchmarked to the Georgia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
4.9 miles from city center
Estimated distance in miles from Lawrenceville's city center to Delmar Gardens of Gwinnett's address, calculated via Google Maps.
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Delmar Gardens of Gwinnett is located in LAWRENCEVILLE, Georgia.
Here are the financial assistance programs available to residents in Georgia.
The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| Life Care Center of Gwinnett |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lawrenceville | 163
Facility
163
GA AVG
88
Rank
#55 / 672 | 55.8% | -29% | 3.19 | +19% | -10% | $0 | 8 | 4.0 | - | 91 |
16
Facility
16
GA AVG
39
Rank
#676 / 873 | Janet Hammond | $12.8M | $6.5M | 51.1% | 115347 | ||||
| Delmar Gardens of Gwinnett |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lawrenceville | 67
Facility
67
GA AVG
88
Rank
#422 / 672 | 83.6% | +7% | 3.49 | +19% | -2% | $0 | 16 | 5.3 | - | 58 |
16
Facility
16
GA AVG
39
Rank
#676 / 873 | Kaline Valleray | $17.3M | $7.5M | 43.2% | 115350 | ||||
| The Bridge at Lawrenceville |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lawrenceville | 85
Facility
85
GA AVG
88
Rank
#317 / 672 | 100.0% | +28% | 3.75 | -16% | +5% | $167.3k | 15 | 5.0 | 3 | 99 |
16
Facility
16
GA AVG
39
Rank
#676 / 873 | Travis Harper | $18.0M | $8.7M | 48.3% | 115659 | ||||
| Mesun Health and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lawrenceville | 100
Facility
100
GA AVG
88
Rank
#194 / 672 | 48.0% | -39% | 4.39 | +2% | +23% | $4.0k | 22 | 7.3 | - | 48 |
69
Facility
69
GA AVG
39
Rank
#108 / 873 | Eugene Kim | $9.8M | $4.3M | 43.3% | 115772 |
Delmar Gardens of Gwinnett has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
Delmar Gardens of Gwinnett's occupancy is 84%.
The team at Delmar Gardens of Gwinnett can be reached at [email protected].
Ms HELEN SMITH is the administrator of Delmar Gardens of Gwinnett.
Delmar Gardens of Gwinnett has 67 beds.
Yes — there are 9 photos of Delmar Gardens of Gwinnett in the photo gallery on this page.
Delmar Gardens of Gwinnett is located at 3100 CLUB DRIVE.
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