(a) Class A.

1. (1) A Class A room is a private single occupancy resident bedroom in a Medicaid-certified skilled nursing facility that:

   1. (A) Has an adjoining private bathroom or an en suite bathroom shared with one (1) other adjoining Class A or Class B room, as described in 20 CAR § 400-1103; and
   2. (B) Is designed, constructed, set up, equipped, furnished, and maintained to accommodate one (1) skilled nursing facility resident, consistent with the requirements of 42 C.F.R. § 483.90.
2. (2) One (1) bed license shall be assigned to each resident room that meets the criteria for Class A.

(b) Class B.

1. (1) A Class B room is a semi-private double occupancy resident bedroom in a Medicaid-certified skilled nursing facility that:

   1. (A) Has an adjoining private bathroom or an en suite bathroom shared with one (1) other adjoining Class A or Class B room, as described in 20 CAR § 400-1103; and
   2. (B) Is designed, constructed, set up, equipped, furnished, and maintained to accommodate two (2) skilled nursing facility residents, consistent with the requirements of 42 C.F.R. § 483.90.

2. (2)

   1. (A) A maximum of two (2) bed licenses shall be assigned to each resident room that meets the criteria for Class B.
   2. (B) Each Class B room must be assigned two (2) bed licenses unless only one (1) of the facility’s total bed licenses remains available after all others have been assigned to other Class A or Class B rooms in the facility.

(c) Class C.

1. (1) A Class C room is any resident room (private single occupancy room or semi-private double occupancy room) that does not meet the criteria in subsections (a) and (b) of this section for designation as a Class A or Class B room:

   1. (A)

(i) If the room’s occupant or occupants must rely (with or without assistance) on communal, hallway-accessible bathroom facilities for their toileting or hand and face washing needs.

1. (ii) For example, if a resident room lacks private or en suite bathroom facilities described in 20 CAR § 400-1103 and is required for all Class A and Class B rooms, that room may only be counted and reported as a Class C resident room;

   1. (B) Each resident room designated as a Class C room must be designed, constructed, set up, equipped, furnished, and maintained to accommodate one (1) or two (2) skilled nursing facility residents, consistent with the requirements of 42 C.F.R. § 483.90; and
   2. (C) Each Class C resident room shall be assigned a maximum of two (2) bed licenses, with one (1) bed license assigned to each private single occupancy Class C resident room and a maximum of two (2) bed licenses assigned to each semi-private double occupancy Class C resident room.

2. (2) Of the facility’s total number of bed licenses, each bed license not otherwise assigned for any reason to a Class A, Class B, or Class C resident room within the facility must be assigned and reported as Class C.

   1. (d) Counting physical space not immediately available.
3. (1) On occasion, a physical space or physical spaces in a Medicaid-certified skilled nursing facility may be suitable for a Class A, Class B, or Class C resident room or rooms but, at the time of reporting, is not ready and available for immediate occupancy due to repairs, maintenance, renovations, forthcoming equipment or furnishings on order, or temporary use for another resident care or facility purpose.

4. (2) The facility may designate and report such physical space or spaces as a Class A, Class B, or Class C resident room or rooms, provided:

   1. (A) Of the facility’s total number of bed licenses, the appropriate number of bed licenses are assigned to the physical space, meaning, one (1) per room if Class A, two (2) per room if Class B, and a maximum of two (2) if Class C room; and
   2. (B) At any time within twenty-four (24) hours, the physical space or physical spaces can be brought into readiness for immediate occupancy, meet applicable resident room requirements of 42 C.F.R. § 483.90, and, if designated as a Class A or Class B resident room, has an attached private or en suite bathroom consistent with 20 CAR § 400-1103.