Deficiency in Resident Room Size Requirements
Summary
The facility failed to provide the minimum required space of at least 80 square feet per resident in multiple resident rooms. During the survey conducted from October 22 to October 28, 2024, it was observed that 22 rooms, each housing two residents, measured only 154 square feet, which is below the required space per resident. This deficiency was identified during an environmental tour with the Maintenance Supervisor, who confirmed the room measurements. Despite the deficiency, interviews with staff and residents indicated that there were no complaints or issues regarding room size, privacy, or space for care. Certified Nursing Assistant 7, who has worked at the facility for seven years, stated that room sizes had not been an issue, and there was adequate space for care and storage. Similarly, a resident interviewed expressed no concerns about room size, privacy, or storage. Observations during the survey period noted that the rooms provided reasonable privacy, adequate storage, and sufficient space for nursing care and resident ambulation. The report suggests that the waiver for room size requirements should continue, as it does not adversely affect the health and safety of residents.
Penalty
Resources
Below are regulatory guidelines relevant to this citation:
Trusted data from CMS and state health departments
Every citation, penalty and Plan of Correction is sourced from public CMS records (latest release May 27, 2026) and official state health department websites — never guesswork.
Trusted by long-term care providers and associations.



