Harmony House

The provided text contains the regulatory requirements for facility capacity and resident evacuation capabilities, but the specific deficiency or finding (the actual violation) is not present in the provided document snippet. The text ends during the citation of the regulation itself.

The facility failed to notify the Division of Health Service Regulation (DHSR) when the evacuation capabilities of residents changed. Specifically, four out of four sampled residents did not exit the facility during a fire drill, indicating their status differed from the ambulatory capacity listed on the facility's license.

The facility failed to ensure that a resident's care plan was signed and dated by a physician within 15 calendar days of the completion of the assessment. Specifically, for one sampled resident, the care plan lacked the required physician signature and date despite the assessment being completed much earlier.

The facility failed to ensure that a resident's care plan was signed and dated by a physician within the required timeframe following an assessment. Specifically, one sampled resident had a care plan that lacked the necessary physician authorization and signature.