Failure to Meet Room Size Requirements
Summary
The facility failed to provide the required minimum of 80 square feet per resident in multiple resident bedrooms for four semi-private rooms, specifically Rooms #407, 602, 604, and 611. This deficiency was identified through observation, interview, and record review. The facility had previously obtained a waiver for these room size requirements, as documented in the CASPER 3 facility assessment report and the Room Size Waiver for Facilities dated 02/15/24. During the survey, it was noted that these rooms were not currently occupied, as confirmed by the facility's administrator (ADM), who expressed the intention to continue the waiver for these rooms. The ADM stated that the rooms had been under a waiver in the past and were not in use at the time of the survey due to ongoing renovations. The rooms are intended to be used again once renovations are complete and the unit is reopened. Despite the waiver, the facility did not provide a policy related to room size, with the ADM indicating that they followed life safety regulations concerning room size. The lack of compliance with the minimum square footage requirement could potentially place residents at risk of crowding and complicate the provision of care, although this risk was not directly observed as the rooms were unoccupied during the survey.
Penalty
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