Deficiency in Resident Room Space Requirements
Summary
The facility failed to provide the required minimum of 80 square feet per resident in five out of thirty resident rooms, specifically rooms 32, 33, 34, and 35. This deficiency was identified during an entrance conference interview with the Director of Nurses (DON), who acknowledged that these rooms did not meet the federal regulation set by the Centers for Medicare & Medicaid Services (CMS). The facility had previously obtained a Room Variance Waiver for these rooms and intended to request an additional waiver. Despite the lack of space, the DON claimed there was no adverse effect on the health, safety, or wellbeing of the residents. Observations and interviews conducted in the affected rooms revealed that residents did not express concerns about the limited space. Residents were observed moving around their rooms without difficulty and stated they felt comfortable with the available space. The facility's Client Accommodations Analysis confirmed that these rooms provided only 72.33 square feet per resident, which is below the required standard. The facility's policy, dated May 2017, indicated that all bedrooms should meet federal and state requirements, including the provision of at least 80 square feet per resident in double rooms.
Penalty
Resources
Below are regulatory guidelines relevant to this citation:
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.
Single Resident Rooms Below Required Square Footage
Penalty
Summary
The facility failed to provide single resident rooms with at least 100 square feet of living space, as required. During a survey, it was confirmed through interview with the Administrator and review of the space/occupancy certification waiver that six single rooms, each occupied by a resident, measured less than the required 100 square feet. The specific room sizes ranged from 91.50 to 97.75 square feet. This deficiency affected six residents who were residing in these undersized single rooms at the time of the survey.
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