Excess Resident Occupancy in Multiple Rooms: Surveyors found 13 resident rooms configured for five residents each, with a shared bathroom and one exit door, exceeding the limit of no more than four residents per room. The rooms were divided by a floor-to-ceiling wall, with two beds on one side and three on the other, and privacy curtains around each bed. A Maintenance Supervisor confirmed the room layouts and measured resident space, while a resident, an LPN, and a CNA reported no issues with room space or maneuvering.
Overcrowded Resident Room: A room contained six residents, with two beds in one section and four beds in another, while sharing a common entrance door and bathroom. Surveyors observed the room and later measured it at 581 square feet, and the ADM was informed of the finding.
A facility failed to ensure that three resident rooms held no more than 4 residents per room. During a tour, Rooms 3 and 4 each had six beds and Room 5 had five beds, all with curtains. A resident stated there were no problems with the number of residents in the room and that everyone comes and goes as they please. The facility’s waiver request letter stated that residents have chronic and persistent mental illnesses and are generally ambulatory, physically stable, and able to exit independently.
Excessive Resident Occupancy in Multiple Rooms: The facility failed to keep four resident rooms within the required occupancy limit, with rooms identified as 12-bed, 7-bed, and 6-bed rooms housing more than four residents each. The ADM stated the facility had a waiver and wanted an additional waiver, while records confirmed the over-occupied rooms. Residents and CNA reported adequate space, and surveyors observed room for mobility devices and care activities, but the rooms still exceeded the standard limit.
Excessive Residents in Shared Bedrooms: The facility failed to ensure eight sampled bedrooms had no more than four residents each. Eight rooms in Building Two each had eight beds, although the report notes the room arrangements were based on residents’ care needs and comfort, with accessible wheelchairs and toilet facilities, reasonable privacy, adequate storage space, and sufficient room for residents and staff to provide care.
Excess Residents in a Shared Room: A room was found to have 6 beds in 543.98 sq ft, exceeding the 4-resident limit. The waiver request acknowledged the room did not meet the regulation, though observations showed adequate space, privacy curtains, working call lights, and furniture for each resident. An LVN and a resident both stated they had no concerns with the room size or ability to provide care.
Excess Residents in Shared Rooms: Surveyors found two resident rooms that exceeded the allowed occupancy limit, with one room housing five residents and another housing four residents. The ADM confirmed the rooms had five beds each and stated the waiver was requested because the rooms were occupied by more than four residents. During the tour, residents were observed able to move in and out of the rooms, with space for beds, side tables, and care equipment.
Excess Residents in Two Shared Rooms: The facility failed to ensure two rooms held no more than four residents each, as both rooms had 5 beds despite a waiver being discussed by the Admin. During the survey, the rooms were observed to be free of clutter and wheelchair accessible, and the Maintenance Director confirmed the room measurements and bed counts. Staff stated there were no care issues, safety hazards, or resident complaints related to the rooms having more than four residents.
Surveyors observed that 3 of 16 rooms exceeded the maximum allowed occupancy, with rooms 11, 12, and 14 each housing more than four residents. The report notes that the rooms had adequate storage, accessible wheelchair and toilet facilities, sufficient space for nursing care and ambulation, and bedside stands for each resident.
Excess Occupancy in 5-Bed Resident Rooms: Two resident rooms were found to accommodate five residents each, exceeding the limit of no more than four residents per room. During tour, one room had space for beds, side tables, and resident care equipment, and the ADM confirmed both rooms were set up for five residents. The facility’s waiver request noted both rooms were about 420 sq. ft. and were intended for mixed ambulatory and non-ambulatory residents.
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