Exceeding Maximum Resident Occupancy in Shared Rooms
Penalty
Summary
The facility failed to comply with federal requirements limiting the number of residents per room, as two rooms were found to house five residents each, exceeding the maximum of four residents per room. This was identified through observation, interviews, and record review, including the facility's Census List and Client Accommodation Analysis Form, which confirmed the presence of five residents in each of the two rooms. The rooms in question provided between 71.536 and 76.964 square feet per resident. The facility had submitted a waiver request, stating that the rooms had no obstructions and sufficient space for care, dignity, and privacy, but the actual occupancy exceeded regulatory limits. Interviews with staff, including a CNA and an LVN, indicated that they did not experience issues providing care in these rooms, even with multiple residents using wheelchairs and one resident requiring a lift machine. The facility's policy and procedure, last reviewed in July 2024, stated that bedrooms should accommodate no more than two residents at a time, which was not followed in these instances. All ten sampled residents in the affected rooms were impacted by this deficiency.