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

Room Size Deficiency in Multiple Resident Rooms

Providence St Elizabeth Care CenterNorth Hollywood, California Survey Completed on 10-04-2024

Summary

The facility failed to ensure that 16 out of 25 resident rooms met the federal square footage requirement of 80 square feet per resident in multiple resident rooms. The rooms in question included Rooms 1, 2, 3, 4, 5, 12, 13, 14, 15, 16, 17, 18, 19, 22, 23, and 28. The room sizes were observed to potentially provide inadequate space for resident care and mobility. Despite this, during a Resident Council Meeting, residents did not express concerns about the space in their rooms. Observations conducted from October 1 to October 4, 2024, indicated that residents had enough space to move freely, and the room variance did not affect the care and services provided by the nursing staff. The facility had submitted an application for a Room Variance Waiver for the 16 rooms that did not meet the square footage requirement. The waiver letter indicated that the rooms had enough space to provide for each resident's care, dignity, and privacy, and would not adversely affect the residents' health and safety or impede their ability to attain their highest practicable well-being. The facility's policy and procedure titled "Accommodations Assessment" required a distance of at least three feet between all beds to ensure adequate space for residents to get in and out of bed, use wheelchairs, or ambulate between the bed and bathroom, and to provide adequate space for nursing care.

Penalty

Fine: $35,670
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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
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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.

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