F0912 F912: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B

Failure to Provide Minimum Required Room Size

Shelbyville Healthcare & Senior LivingShelbyville, Illinois Survey Completed on 08-09-2024

Summary

The facility failed to provide the required minimum of 80 square feet of floor space per resident bed, affecting 23 residents. Historical room size documentation and actual measurements revealed that rooms 101 through 111, 201 through 210, and 301 through 311 do not meet the required space, providing only 73 to 78 square feet per resident bed. The facility's Declaration of Room Sizes, revised on 8/1/21, confirms these deficiencies. The Administrator acknowledged awareness of the undersized rooms, stating that the issue recurs annually, necessitating a waiver application process. The Medicare/Medicaid Certification and Transmittal from the most recent annual survey on 7/19/2023 confirms that all 80 beds in the facility are certified under Title 18 (Medicare) or Title 19 (Medicaid).

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Resources

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Single Resident Rooms Below Required Square Footage
B
F0912 F912: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Short Summary

Six residents were found to be living in single rooms that did not meet the minimum required 100 square feet of living space, with room sizes ranging from 91.50 to 97.75 square feet, as confirmed by facility records and administrator interview.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

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