Rooms Exceed Maximum Resident Capacity
Penalty
Summary
The facility failed to ensure that bedrooms accommodated no more than four residents, as required, for three rooms. Observations and record reviews revealed that two of these rooms each housed five residents, while another housed four. Documentation showed that the rooms in question had sufficient square footage per resident, and during the survey, residents were observed to have enough space to move freely, including those who were wheelchair-bound or ambulatory. Interviews with residents and staff indicated that there were no reported concerns regarding space or privacy, and staff confirmed they had enough room to provide care. Despite the absence of complaints from residents or staff, the facility's own records and direct observations confirmed that the number of residents in these rooms exceeded the regulatory maximum. The administrator acknowledged that the rooms had a capacity greater than four residents and confirmed that privacy was maintained. The facility had a policy for screening residents for placement in waiver rooms, but the deficiency was identified due to the actual number of residents residing in the rooms at the time of the survey.