Deficiency in Resident Room Space Requirements
Summary
The facility failed to ensure that 45 resident rooms met the required 80 square feet per resident, as observed during a survey. The Client Accommodation Analysis indicated that multiple rooms were below the required space, with most rooms measuring only 74.3 square feet per resident. Despite this, during interviews, several residents and staff members reported no issues with the space available in the rooms. However, one Licensed Nurse mentioned that CNAs might struggle in certain rooms when using mechanical lifts, and another resident expressed a desire to be moved to a different bed for better visibility. The Administrator acknowledged that some rooms were not included in the approved waiver, which had been the case since his tenure began. The Department recommended the continuation of the waiver for the rooms that did not meet the space requirement. Despite the lack of complaints from most residents and staff, the deficiency was noted due to the potential impact on care provision and quality of life, as the rooms did not meet the regulatory space requirements.
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.



