This letter requires nursing homes and other healthcare facilities to provide sufficient space and equipment in dining, health services, recreation, and program areas to enable staff to provide residents with needed services as identified in their assessment and plan of care. Facilities must consider if available space and equipment is sufficient for residents to pursue activities, receive health services and programs, store and utilize mobility devices, assistive technology, physical therapy or adaptive equipment as identified in the resident assessment or plan of care. Facilities must ensure that the space is comfortable and not functionally off-limits, and the resident’s functioning is not restricted once access to the space is gained. This letter will impact nursing homes and other healthcare facilities by requiring them to take action to ensure that their spaces are adequate for the needs of the residents.

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