Deficiency in Room Size Requirements
Summary
The facility failed to provide bedrooms that met the required square footage per resident, as specified by regulations. Specifically, 15 out of 99 rooms were found to be deficient in size, with each room measuring between 72.4 and 76.4 square feet per resident, instead of the required 80 square feet for multiple resident rooms. This deficiency was identified during a survey conducted on July 20, 2024, where measurements were taken and confirmed by the Maintenance Director. The rooms in question were certified for two beds each, yet they did not meet the necessary space requirements. During an interview, the Director of Nursing (DON) mentioned that certain rooms were designated as small and were intended for single occupancy, although they were certified for two residents. The DON was unable to clarify the meaning of the acronym SCU, which was used to label these rooms. A review of the facility's documentation, including Form 3740 and an undated list of rooms with insufficient square footage, confirmed the deficiency. This failure could potentially impact the quality of life for residents by limiting space for personal effects and movement within their rooms.
Penalty
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