Failure to Meet Square Footage Requirements in Multiple Resident Rooms
Summary
The facility failed to ensure that 14 of 28 rooms met the square footage requirement of 80 square feet per resident in multiple resident rooms. The rooms in question were Rooms 15, 16, 17, 19, 20, 21, 22, 23, 25, 26, 27, 32, 33, and 35. During the Health Recertification Survey, it was observed that these rooms did not meet the required square footage per resident. Despite this, the facility's Administrator stated that a room waiver would be requested for these rooms, indicating that the current room sizes did not adversely affect the health, safety, or care of the residents. The facility's letter requesting the waiver and the Client Accommodations Analysis supported this claim, stating that the residents' safety and care were not compromised by the existing room sizes. Interviews with staff and residents corroborated that there was enough space to provide care and that the room sizes did not impede the movement of wheelchairs and walkers or the provision of nursing care and treatments, including for residents with ventilators. During interviews, both a Certified Nurse Assistant and a Licensed Vocational Nurse confirmed that there was sufficient space in the rooms to provide care and move equipment without issues. Additionally, a resident who used a wheelchair stated that he could move freely in and out of his room without any concerns. Observations during the survey also indicated that residents had adequate space to move freely inside the rooms, and each resident had beds and bedside tables with drawers. The room sizes did not affect the care and services provided to the residents when nursing staff were observed providing care. Despite the facility's efforts to justify the room sizes, the deficiency was noted due to the failure to meet the regulatory square footage requirements per resident in multiple resident rooms.
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