CMS SOM App. M, Tag L830

(1) The hospice must ensure that patient rooms are designed and equipped for

nursing care, as well as the dignity, comfort, and privacy of patients.

(2) The hospice must accommodate a patient and family request for a single room

whenever possible.

(3) Each patient's room must—

(i) Be at or above grade level;

(ii) Contain a suitable bed and other appropriate furniture for each

patient;

(iii) Have closet space that provides security and privacy for clothing and

personal belongings;

(iv) Accommodate no more than two patients and their family members;

(v) Provide at least 80 square feet for each residing patient in a double

room and at least 100 square feet for each patient residing in a single

room; and

(vi) Be equipped with an easily-activated, functioning device accessible to

the patient, that is used for calling for assistance.

(4) For a facility occupied by a Medicare-participating hospice on December 2,

2008, CMS may waive the space and occupancy requirements of paragraphs

(g)(2)(iv) and (g)(2)(v) of this section if it determines that—

(i) Imposition of the requirements would result in unreasonable hardship

on the hospice if strictly enforced; or jeopardize its ability to continue to

participate in the Medicare program; and

(ii) The waiver serves the needs of the patient and does not adversely affect

their health and safety.

Interpretive Guidelines §418.110(g)

In addition to a clean, comfortable bed, each patient should have at least a place to put

personal effects, such as pictures and a clock, furniture suitable for the comfort of the

patient and visitors (i.e., a chair) and adequate lighting suitable to the tasks the patient

chooses to perform, or the inpatient staff needs to perform.

Hospices must submit the waiver requests mentioned in this requirement, in writing, to

the CMS Location.