Deficiency in Room Size Requirements
Summary
The facility failed to ensure that four single resident rooms met the required minimum size of 100 square feet per resident. Specifically, Rooms 4 and 5 measured 76 square feet each, while Rooms 16 and 17 measured 99.75 square feet each. This deficiency was identified through a review of the facility's Client Accommodation Analysis and a waiver request submitted by the Administrator. The report indicates that the room sizes did not meet the Centers for Medicare & Medicaid Services (CMS) requirements, potentially affecting the quality of care, health, and safety of the residents due to inadequate space for care, mobility, and privacy. Despite the deficiency, observations and interviews conducted on February 7, 2025, revealed that the room sizes did not negatively impact the care and services provided to the residents. Residents and staff reported having sufficient space for care delivery and daily activities. Resident 8, who has a history of schizophrenia, hypertension, and anxiety disorder, stated she had enough space in her room and did not experience any issues with her care. Similarly, a CNA and an LVN confirmed that they had enough space to perform their duties in the single rooms and had not received any complaints from residents.
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