Facility profile · CCN 265105
Delmar Gardens West
30 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $22,623.
Record summary
Federal record · Q1 202630
Total citations
24
Last 3 years
2
Actual harm+
2
Federal penalties
$22,623
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
30 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 11, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint |
| Apr 11, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 11, 2025 | F761 | 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. | E | Standard |
| Apr 11, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Apr 11, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Apr 11, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Apr 11, 2025 | F584 | 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. | D | Standard |
| Oct 9, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 9, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Aug 21, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Aug 21, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 21, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Apr 29, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Apr 29, 2024 | F584 | 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. | D | Complaint |
| Apr 2, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Nov 17, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 17, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Nov 17, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Nov 17, 2023 | F761 | 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. | D | Standard |
| Nov 17, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Nov 17, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 17, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jul 21, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jan 15, 2020 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 15, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 15, 2020 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Jan 15, 2020 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jan 15, 2020 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Jan 15, 2020 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $22,623 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 2, 2024 | Fine | $14,433 | — |
| Jul 21, 2023 | Fine | $8,190 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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