Resident Rooms Below Minimum Space Requirements
Penalty
Summary
The facility failed to ensure that 27 out of 37 resident rooms met the minimum space requirements of 80 square feet per resident in multiple occupancy rooms, as required. Specifically, several rooms with two or three beds each were found to have less than the required square footage per resident, according to the facility's Client Accommodation Analysis. The analysis detailed the dimensions and floor areas of each deficient room, confirming that the space provided was insufficient for the number of residents assigned. During the survey, interviews were conducted with a resident and a Licensed Vocational Nurse (LVN). The resident reported feeling comfortable and did not express any complaints about the room size, while the LVN stated that the room sizes did not interfere with their ability to perform care duties. The facility had submitted a waiver request, noting that there were no unnecessary furnishings causing congestion and that residents benefited from the familiar environment. However, the deficiency was identified based on the objective measurements of room sizes and the number of residents accommodated.
Plan Of Correction
Flag=912 Bedroom Measure at least 80 Sq/Ft/Resident Immediate correction action: The facility applied for a room waiver on 04/30/2025. Residents affected were ambulatory and can get in and out of their rooms without difficulty. The nursing staff has full access to provide treatment, administer medications, and assist residents to perform their individual routine of activities of daily living. Process to prevent recurrences: In-services were conducted by the Administrator and Maintenance Supervisor to facility staff on 05/02/25 and 05/20/25 to ensure that affected rooms will not have any adverse effects on residents' health, welfare, and safety and enough space for the provision of care to residents. Monitoring process: The Administrator and Maintenance Supervisor will conduct rounds monthly throughout the facility as needed x 3 months to ensure that the affected rooms will not have any adverse effects on residents' health, welfare, and safety and enough space for the provision of care to residents and that residents will not have any adverse effect on their health, welfare, and safety. Maintenance supervisor will report findings to the QAPI committee quarterly for review, resolution, and follow-up. Completion date: 5/20/2025 F 912