Failure to Obtain Waiver for Undersized Resident Rooms
Penalty
No penalty information released
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
Facility staff failed to apply for a required waiver for resident rooms that were less than the minimum square footage mandated by regulations. During the annual survey, the surveyor inquired about existing waivers at the entrance conference, and the DON stated that a waiver existed for undersized rooms. However, upon review of documentation, it was found that certain rooms did not meet the required square footage, and no waiver was available for these rooms. The Administrator explained that they were instructed not to apply for a waiver unless specifically requested by the survey team, resulting in the waiver not being available prior to the survey and leading to noncompliance.