Regulatory Update on F918: Bedrooms Equipped/Near Lavatory/Toilet!

📢 Regulatory Update on F918: Bedrooms Equipped/Near Lavatory/Toilet! 🚽 🚿

Hey everyone! CMS dropped some updates to F918 on 4/28/2025, and while this one might not be the most talked about, it's got some important changes for physical environments.

Let's break it down! 👇

The Basics (For ALL Facilities): 🏠

Every resident room needs a toilet 🚽 & bathing facility 🛀 either IN it or very nearby.

"Toilet facilities" = a space with a sink 💧 + toilet/commode.

"Bathing facilities" = a space with a shower 🚿 or tub 🛁.

Stricter Rules for "Newer" Facilities (Post Nov 28, 2016): ✨🗓️

If your facility was:

✅ Approved for construction after 11/28/2016

🆕 Newly certified after 11/28/2016

🤝 Had a specific type of ownership change (new provider agreement) after 11/28/2016

🔄 Re-enrolled as newly certified after a termination, effective after 11/28/2016

...THEN, each resident room must have its OWN bathroom with at least a toilet & sink.

(Plus, max 2 residents per bedroom 🛏️🛏️)

🎉 HERE'S THE BIG UPDATE for these "Newer" Facilities! 🎉

The latest guidance clarifies something cool for these newer setups:

-Two SINGLE-OCCUPANCY rooms (meaning 🧍 one resident per room) can SHARE a "Jack & Jill" bathroom! 🚪🚽🚪

-This shared bathroom must have at least a toilet 🚽 and a sink 💧.

-This setup IS COMPLIANT with the rules for both bathrooms and room occupancy! ✅👍

🔑 SUPER IMPORTANT CAVEAT for the "Jack & Jill" setup:

-This only works if EACH of those two connected rooms remains strictly single occupancy (just ONE resident 🧍 in each).

-If either room houses more than one resident, then that "Jack & Jill" bathroom setup is NO LONGER compliant. ❌

What this means: For facilities meeting the "newer" criteria, this update allows a bit more flexibility for layouts with two private rooms sharing a bathroom, potentially avoiding major rehab, AS LONG AS those rooms stay private (single-occupancy). 🥳

Other Quick Notes:

🆘 During public health emergencies, waivers might be possible (chat with CMS).

📋 Not following these rules = noncompliance.

Hope this helps make sense of the changes! Stay informed!

#HealthcareRegs #FacilityManagement #CMSUpdates #LTC #QSO2514NH

#TheAdministratorsDilemma #LNHA #NursingHomeAdministrator #SNF #SkilledNursing #NursingHome #Healthcare #F918 #SurveyReady