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F0912
B

Resident Rooms Below Minimum Square Footage Requirement

Duarte, California Survey Completed on 07-24-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that resident bedrooms met the required minimum size of 80 square feet per resident in multiple occupancy rooms, as specified by regulations. Ten out of 62 resident rooms were identified as not meeting this standard, with room sizes ranging from 66 to 72 square feet per resident. These rooms were observed to have two beds each, and in some cases, only one resident was occupying the room. The deficiency was identified through observation, interviews, and review of the facility's Client Accommodations Analysis, which documented the square footage and occupancy of each room. During the survey, the Administrator confirmed that no room waiver application had been submitted and declined to request room variances prior to the survey. Despite the deficiency, observations during the survey period indicated that residents had sufficient space for movement, nursing care, privacy, and use of care equipment. No concerns regarding room space were raised by residents during the Resident Council meeting, and no adverse effects on residents' personal space, nursing care, or comfort were noted at the time of the survey.

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