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The provided text contains the regulatory requirements for facility capacity and resident evacuation capabilities but does not explicitly state a specific deficiency or failure found during this survey. The text only lists the standard for maintaining licensed capacity and notifying the Division of Health Service Regulation of changes in resident mobility.

The provided text contains the regulatory requirements for facility capacity but does not explicitly state a specific finding of non-compliance for this facility. The document only lists the regulation text under the C 007 tag without describing a specific violation occurring during the survey.

The facility failed to ensure a pharmaceutical review was completed at least quarterly for three sampled residents. Specifically, for Resident #1, only one review dated 05/07/24 was available, with no other recent reviews documented.

The facility failed to ensure that a pharmaceutical review was completed at least quarterly for three sampled residents (Resident #1, #2, and #3).

The facility failed to notify the Division of Health Service Regulation that the evacuation capabilities of certain residents had changed. Specifically, two residents with cognitive impairments were identified whose needs differed from the evacuation capabilities listed on the facility's license.

The Supervisor-In-Charge (SIC) failed to maintain the facility's regulatory requirements in the absence of the Administrator. Specifically, the SIC was unable to identify resident medications and had to retrieve a key from outside the building to access the medication closet.

The Supervisor-In-Charge (SIC) failed to maintain required facility standards and regulatory compliance in the absence of the Administrator. Specifically, the SIC could not identify resident medications and was unable to provide necessary medications for sampled residents, necessitating the Administrator's return to the facility to locate items.

The Supervisor-In-Charge (SIC) failed to maintain required standards and regulatory compliance in the absence of the Administrator. Specifically, the SIC could not identify resident medications and was unable to provide the correct medications for sampled residents, necessitating the Administrator's return to the facility to locate necessary items.