Nursing homes and healthcare facilities must measure the usable living space of resident rooms to ensure they meet the minimum square footage requirements of 80 square feet for multiple resident rooms and 100 square feet for single resident rooms. The useable living space should be measured based on the floor's measurements, excluding toilets and bath areas, closets, lockers, wardrobes, alcoves, or vestibules. Non-permanent items of the resident's own choice should have no effect on the calculation. Protrusions such as columns, radiators, ventilation systems, and ductwork should be ignored in the calculation if they don't have an adverse effect on the resident's health and safety or impede the ability of any resident in that room to attain their highest practicable well-being. The swing or arc of any door which opens directly into the resident's room should not be excluded from the calculations. Nursing homes and healthcare facilities should carry a tape measure and take measurements of the room if it appears small. They must also ensure that there are at least 80 square feet per resident in multiple resident rooms and at least 100 square feet for single resident rooms, unless a variation has been applied for and approved.

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