B · No harm, potential for minimal, patternDecember 22, 2022
Based on observations, an interview, and review of a facility assessment document for room occupancy, the facility failed to ensure that nine of sixteen resident rooms were not furnished and/or occupied by no more than four residents per room. This included Room Locator (RL) numbers (#): 1, 2, 3, 4, 5, 6, 7, 8, and 9. This affected 9 of 16 rooms in the facility. Findings Include: On 12/20/2022 beginning at 6:55 AM, during the initial tour of the facility, RL#s: 1, 2, 3, 4, 5, 6, 7, 8, and 9 were observed set up and furnished for the occupancy of five residents. There were no concerns noted related to access to the residents by staff for care. …