Delmar Gardens Of Gwinnett - Lawrenceville Nursing Home
General Information
UPDATEFederal Provider Number
115350
Provider Name
DELMAR GARDENS OF GWINNETT
Provider Address
3100 CLUB DRIVE
LAWRENCEVILLE, GA 30044
LAWRENCEVILLE, GA 30044
Provider Phone Number
(770) 923-3100
Provider SSA County
530
Provider County Name
Gwinnett
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DELMAR GARDENS OF GWINNETT OPERATING LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.47182
Reported LPN Staffing Hours per Resident per Day
0.85636
Reported RN Staffing Hours per Resident per Day
0.61909
Reported Licensed Staffing Hours per Resident per Day
1.47545
Reported Total Nurse Staffing Hours per Resident per Day
3.94727
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20818
Expected CNA Staffing Hours per Resident per Day
2.53104
Expected LPN Staffing Hours per Resident per Day
0.61476
Expected RN Staffing Hours per Resident per Day
0.95688
Expected Total Nurse Staffing Hours per Resident per Day
4.10268
Adjusted CNA Staffing Hours per Resident per Day
2.39629
Adjusted LPN Staffing Hours per Resident per Day
1.15619
Adjusted RN Staffing Hours per Resident per Day
0.48343
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87821
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2011-12-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
81150
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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