Inspection Reports for
Beyond a Home LLC

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

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 facility was found to be in compliance with all applicable regulations. The physical plant, resident and staff files, medications, and safety equipment were all observed to be in proper order with no deficiencies noted during the visit.

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 addressed allegations that staff did not provide medications as prescribed, residents were left in soiled diapers causing pressure sores, residents were not provided adequate food service, and residents were not provided with activities. The findings were unsubstantiated.

The investigation found all four allegations unsubstantiated based on interviews with residents and staff, review of medication logs and resident records, and observations during the visit.

The complaint investigation was triggered by allegations received on 05/16/2022 regarding pressure injuries and medication mismanagement. The allegations were found unsubstantiated after interviews and record reviews.

The investigation found both allegations unsubstantiated. Records and interviews confirmed the resident had a stage 2 bed sore upon admission which was treated and healed, and medication administration was compliant with approved records.

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.

The complaint alleged that on 12/24/22, a resident was given ice cream and pie despite a believed special diet order not to have sugar. Interviews and record reviews revealed no special diet order for sugar intake. The allegation was unsubstantiated.

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 restricting sugar intake. The allegation was unsubstantiated and no deficiencies were issued.

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 generally compliant with regulations including infection control, physical environment, food storage, and safety equipment. No deficiencies or violations were explicitly noted in the report.

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, failure to provide activities, failure to meet residents' needs, neglect, and leaving residents unattended in soaking wet diapers. All were found unsubstantiated based on observations and interviews.

All allegations were investigated through facility tour, interviews with staff and residents, and document review. No evidence was found to substantiate any of the complaints. The facility was not in disrepair, linens were clean, residents participated in activities, staff responded timely to resident needs, and residents were well cared for with no neglect observed.

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 facility was found to be clean, in good repair, and compliant with Title 22 regulations. The physical plant, safety features, and supplies were inspected and found adequate, with minor advice given to adjust the hot water temperature.

The applicant/administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Signed documentation and photo ID were obtained.

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.