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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 in Smyrna, Georgia, 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.
Individuals seeking high aide-to-resident ratios in a multi-level setting will find strong direct care support and minimal regulatory history at this facility. The quick resolution of 2025 deficiencies demonstrates responsiveness to compliance concerns. Long-term residents benefit from consistent staffing levels and continuity in residential programming.
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 38th 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.
| 26m per day | ▼ 10% 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.
| 49m per day | ▼ 12% 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.
| 2h 35m per day | ▲ 20% 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 28m per day | ▲ 12% 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.
| 1m per day | ▼ 67% 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.
| 15m per day | ▼ 25% State avg: 20m per day · National avg: 28m per day |
Lower than the Georgia average: 78.1%Delmar Gardens of Smyrna is administrated by Ms Dawn St Fleur.
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.
| 43 | 21 | This facility has 105% more total deficiencies than a typical Georgia nursing home (43 vs. GA avg 21).↑ 105% worse |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 4.8 | 2.3 | This facility has 109% more deficiencies per year than a typical Georgia nursing home (4.8 vs. GA avg 2.3).↑ 109% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.3 | 2.1 | This facility has 105% more deficiencies per inspection than a typical Georgia nursing home (4.3 vs. GA avg 2.1).↑ 105% worse |
Inspections
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 10 | This facility has total inspections in line with the Georgia average (10 vs. GA avg 10).— At avg |
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.
1 of 22 citations resulted from standard inspections; 2 of 22 resulted from complaint investigations; and 19 of 22 came from combined inspections (standard and complaint).
100% better than Georgia averageGeorgia average: 0.7
100% worse 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.
82% more staff per resident than Georgia average
5% 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.
11 total: 5 full-time employees and 6 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
46 total: 18 full-time employees and 28 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
137 total: 45 full-time employees and 92 contractors.
137
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,826 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 92 | 137 | 19,688 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 18 | 28 | 46 | 6,871 | 92 | 100% | 7.7 |
| Medication Aide/Technician | 6 | 0 | 6 | 3,660 | 92 | 100% | 9.7 |
| Registered Nurse | 5 | 6 | 11 | 1,760 | 90 | 98% | 7.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,461 | 71 | 77% | 7.9 |
| Physical Therapy Aide | 0 | 5 | 5 | 871 | 84 | 91% | 6.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 750 | 81 | 88% | 7.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 700 | 73 | 79% | 5.1 |
| Administrator | 1 | 0 | 1 | 562 | 61 | 66% | 9.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 511 | 66 | 72% | 5.3 |
| Dietitian | 1 | 0 | 1 | 496 | 65 | 71% | 7.6 |
| Qualified Social Worker | 0 | 3 | 3 | 474 | 66 | 72% | 6.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 461 | 61 | 66% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 412 | 54 | 59% | 7.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 373 | 65 | 71% | 5.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 112 | 14 | 15% | 8 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 5 | 5% | 9 |
Includes penalties issued in 2023
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 (Data as of Jan 2026)
41% lower than Georgia averageGeorgia average: $40K
51% fewer fines than Georgia averageGeorgia average: 2.1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
252% more payment denials than Georgia averageGeorgia average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 10, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Aug 10, 2023Last updated: Jan 2026
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.
11.4
11% worse than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.5
12% 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
15.9%
6% better than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
24.7%
27% worse than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.0%
12% worse than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
32% worse than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.1%
19% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
1.8%
28% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
7.2%
20% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
0.4%
95% better than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
18.3%
In line with Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.7%
In line with Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
In line with Georgia averageGeorgia average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.10
In line with Georgia averageGeorgia average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
61% better 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
39.5%
51% worse than Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
10% better than Georgia averageGeorgia average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
35.1%
55% worse than Georgia averageGeorgia average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
17% better than Georgia averageGeorgia average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.1%
42% better than Georgia averageGeorgia average: 12.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Georgia averageGeorgia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.6%
In line with Georgia averageGeorgia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.8%
36% 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.
55% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Smyrna 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 #22 / 185Payroll — State benchmarkedThis home is ranked 22nd 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.
Housing Options: Apartments
Building Type: 2-story
Transportation Services
Housekeeping Services
Social and Recreational Activities
Parking Available
Most residents typically stay for a few weeks or months before returning home or moving on.
Tara serves as the Administrator at Delmar Gardens of Smyrna, providing attentive and professional leadership to the community. Her role is integral to maintaining high standards of care and service, ensuring residents receive the best possible experience.
3.0 miles from city center
Estimated distance in miles from Smyrna's city center to Delmar Gardens of Smyrna's address, calculated via Google Maps.
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Delmar Gardens of Smyrna is located in Smyrna, Georgia.
Here are the financial assistance programs available to residents in Georgia.
Delmar Gardens of Smyrna has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Delmar Gardens of Smyrna's occupancy is 68%.
Ms DAWN ST FLEUR is the administrator of Delmar Gardens of Smyrna.
Delmar Gardens of Smyrna has 92 beds.
Yes — there are 59 photos of Delmar Gardens of Smyrna in the photo gallery on this page.
Delmar Gardens of Smyrna is located at 404 King Springs Village Pkwy, Smyrna, GA 30082.
(770) 432-4444 will put you in contact with the team at Delmar Gardens of Smyrna.
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