Noncompliance With Minimum Square Footage Requirements in Multiple-Resident Rooms
Penalty
Summary
The facility failed to ensure that multiple-resident rooms provided at least 80 square feet per resident, as required, affecting rooms that could house 31 residents. The CMS Form 671 dated 1/4/26, signed by the Administrator (V1), documented that 53 residents resided in the facility. An Illinois Department of Public Health letter dated 4/1/2025 granted a waiver for specific rooms (107-112, 115-119, 201-209, 301-306, 307-311), with the waiver subject to annual review or review at any time the facility did not meet the conditions under which it was granted. During an interview on 1/4/26, the Administrator acknowledged that the facility had rooms that did not meet the 80 square feet per resident requirement and provided a floor plan highlighting rooms 107, 108, 109, 110, 111, 112, 115, 116, 117, 118, 119, 201, 202, 203, 204, 205, 206, 207, 208, 209, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, and 311 as being under the required size. On 1/5/26, the Administrator further stated that the waiver is sent every year to the State Agency and confirmed that the facility places two residents in the rooms covered by the waiver and that any resident could be moved into those rooms with a roommate. No additional resident-specific medical histories or clinical conditions were documented in relation to this deficiency, and the report focused on the room size measurements, the existence of the waiver, and the Administrator’s statements about room occupancy and use of the waived rooms.
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