Inspection Reports for
D’Best Care

The visit was triggered by complaint 22-AS-20230707101059 alleging that a female non-staff was sleeping in the common area (living room couch). During the initial complaint visit, it was observed that Staff 1 had a background clearance but was not associated with the facility per Licensing Information System records.

One deficiency was cited related to a staff member working at the facility prior to being associated or eligible to work, violating criminal record clearance requirements. A $500 civil penalty was issued.

The visit was complaint-related based on complaint 22-AS-20230707101059. The complaint alleged that a female non-staff was sleeping in the common area. The deficiency was substantiated and a citation re-issued.

One deficiency was cited related to criminal record clearance where a staff member began working prior to being associated or eligible to work at the facility. A $500 civil penalty was issued.

The facility was inspected for compliance with licensing requirements including safety, cleanliness, and resident accommodations. One deficiency was cited related to obstructions in the outdoor passageways posing a potential risk to residents.

The facility was generally found to be in compliance with licensing standards, including clean and hazard-free resident bedrooms, operational safety equipment, and proper storage of medications and hazardous materials. However, a Type B deficiency was cited due to obstructions in the outdoor passageways posing a potential risk to residents.

The complaint investigation was substantiated. Two main allegations were investigated: facility clutter and unsanitary conditions, and a female non-staff sleeping in the common area. Evidence included interviews, observations, and document reviews. A $500 civil penalty was issued for the non-staff sleeping allegation, and a $250 civil penalty was issued for the repeat violation of facility cleanliness.

The investigation substantiated two allegations: the facility was cluttered and unsanitary, and a female non-staff member was sleeping in the common area. Observations included food particles and discoloration in the refrigerator, mold growing on kitchen tiles, clutter in the backyard and side exit, and confirmation that a non-staff individual was sleeping on the living room couch. Civil penalties were issued for these violations.

The complaint investigation was substantiated. Two separate allegations were investigated: 1) Facility clutter and unsanitary conditions, and 2) Female non-staff sleeping in the common area. Evidence from interviews and observations supported both allegations. A $500 civil penalty was issued for the non-staff sleeping allegation and a $250 civil penalty for the clutter and unsanitary conditions.

The investigation substantiated the allegations of clutter and unsanitary conditions, including mold growth and cluttered yard, and confirmed that a female non-staff member was sleeping in the living room couch. Civil penalties of $500 and $250 were issued for these violations.

Two deficiencies were cited related to medication storage and facility cleanliness and maintenance. A Technical Advisory was also given regarding the lack of a 30-day supply of PPE.

Two deficiencies were cited: medication was left unattended on a dining table posing a health and safety risk, and the facility was not maintained clean, sanitary, and in good repair with debris and clutter observed on the patio and side of the house. A Technical Advisory was also given for not having a 30-day supply of PPE on hand.

The complaint was substantiated. Resident 1 developed multiple stage 4 pressure injuries due to delayed medical care and failure to call emergency services. Both the facility and Green Meadows Home Care failed to provide timely medical attention, causing immediate decline in health and unnecessary pain and suffering.

The investigation found that Resident 1 developed stage 4 pressure injuries due to lack of timely medical attention by both the facility and the home health care provider. The facility failed to provide necessary medical care and did not call emergency services despite the resident's deteriorating condition, resulting in substantiated neglect.