Inspection Reports for
Beyond a Home LLC

The facility was found to be in compliance with licensing standards, with clean and well-maintained bedrooms, common areas, bathrooms, and proper storage of medications and supplies. No citations or deficiencies were issued during the visit.

The facility was found to be in full compliance with no deficiencies observed. The physical plant, resident and staff files, medications, and safety equipment were all reviewed and found satisfactory.

The complaint alleged staff did not provide medications as prescribed, residents were left in soiled diapers causing pressure sores, inadequate food service was provided, and residents were not given activities. The investigation found no evidence to support these allegations.

The investigation found all four allegations unsubstantiated based on interviews with residents and staff, review of medication logs, observation of food service and activities, and facility tour.

The complaint investigation was unsubstantiated. Allegations included a resident sustaining pressure injuries and staff mismanaging medication. Interviews and record reviews did not support these allegations.

The investigation found that the resident came to the facility with a stage 2 bed sore that was being treated and had completely healed, and that the medication administration was compliant with the resident's approved Medication Administration Records. Both allegations were unsubstantiated based on interviews and record reviews.

Allegation: Staff did not follow special diet for resident. The allegation was unsubstantiated based on interviews and file reviews.

The investigation found that all residents are provided low sodium meals and special diets are followed as per doctor orders. Records showed the resident in question had no special diet order on sugar intake. The allegation was unsubstantiated and no deficiencies were issued.

The facility was found to be clean and well-maintained with operational safety equipment and appropriate infection control measures. No deficiencies or violations were explicitly noted in the report.

The complaint investigation was unsubstantiated. Allegations included facility disrepair, failure to provide clean linens, lack of activities, unmet resident needs, neglect, and unattended residents in wet diapers. All were found unsubstantiated based on observations and interviews.

After touring the facility, interviewing staff, residents, and reviewing documents, all allegations were found to be unsubstantiated. The facility was not in disrepair, linens were clean and changed weekly, residents participated in activities, staff responded timely to call buttons, and residents were well cared for with no neglect observed.

The facility was found to be clean, in good repair, and compliant with Title 22 regulations. Safety features such as auditory alarms on doors, locked storage for medications and chemicals, and operational smoke and carbon monoxide detectors were observed. The facility has appropriate furnishings and safety equipment, and the hot water temperature was tested and advised for adjustment.

The applicant/administrator participated in a COMP II telephone interview confirming understanding of licensing requirements including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness. No deficiencies or violations were noted in the report.