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F0911
B

Room Occupancy Exceeds Regulatory Limit

Alhambra, California Survey Completed on 06-26-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that one of its rooms did not exceed the maximum occupancy of four residents per room, as required by regulations. Specifically, the room in question was separated by a wall into two sections, with two beds on one side and three beds on the other, but only had a single door for entry and exit, effectively making it a single room with five residents. This arrangement was confirmed through observation, interviews, and record review, including a review of the facility's room waiver, which acknowledged the configuration and the number of residents in the room. Interviews with the administrator, residents, and nursing staff confirmed the presence of more than four residents in the combined room. Despite the room's size and the ability for residents and staff to move freely and provide care, the room did not meet the regulatory requirement for maximum occupancy. The residents and staff did not express concerns about space, privacy, or the ability to provide care, and observations indicated that the room's configuration did not adversely affect health or safety at the time of the survey.

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