| (a) Multiple facilities located within one building.
(1) Identifiable location. Each facility shall be in
one separately identifiable location and conform with all the requirements
contained in Chapter 18 of the National Fire Protection Association
101, Code for Safety to Life from Fire in Buildings and Structures,
2000 edition (NFPA 101).
(2) Separate licensed facilities. Each facility shall
provide the following separate services and amenities:
(A) a nursing suite in accordance with the requirements
of §510.123(n) of this subchapter (relating to Spatial Requirements
for New Construction);
(B) an administration office with an adjacent waiting
room or waiting area;
(C) a medical records room which conforms with the
requirements of §510.123(m) of this subchapter;
(D) a pharmacy suite in accordance with §510.123(o)
of this subchapter;
(E) employee locker facilities which comply with requirements
of §510.123(f) of this subchapter;
(F) a housekeeping room in accordance with the requirements
of §510.122(d)(2)(A)(xxviii) of this subchapter (relating to
New Construction Requirements);
(G) an emergency treatment room as required by §510.123(e)(1)(A)
of this subchapter;
(H) external signage at the building entrance which
identifies each facility; and
(I) internal signage which provides directions to each
facility.
(3) Means of egress. Means of egress from the facility
shall not be through another facility or other areas subject to locking.
(4) Additional services and amenities. Additional services
and amenities when required in each licensed facility may be provided
by contractual agreement with the other facility when the services
and amenities comply with the specific requirements of §510.41
of this chapter (relating to Facility Functions and Services) and §510.123
of this subchapter. Some services may be provided by contractual agreement
with a commercial contractor; however, the following minimal services
and amenities shall be provided on site:
(A) dietary services and dietary suite which comply
with §510.41(b) of this chapter and §510.123(d) of this
subchapter respectively;
(B) cart cleaning and sanitizing services and facilities
which comply with §510.123(b) of this subchapter;
(C) general stores services and facilities which comply
with §510.123(h) of this subchapter;
(D) laboratory services and a laboratory suite which
comply with §510.41(e) of this chapter, and §510.123(k)
of this subchapter, respectively;
(E) housekeeping rooms as required in §510.122(d)(2)(A)(xxviii)
of this subchapter;
(F) parking, in accordance with §510.122(c)(2)
of this subchapter;
(G) physical therapy services and amenities, occupational
therapy services and amenities, or both in accordance with §510.123(p)
of this subchapter;
(H) imaging services in accordance with §510.123(j)
of this subchapter;
(I) central sterile supply which complies with §510.123(c)
of this subchapter; and
(J) waste and waste disposal services, and waste processing
and storage units shall comply with §510.41(o) of this chapter.
(5) Building systems and equipment.
(A) The following systems shall be provided separately
in each facility.
(i) Nurses calling systems shall be provided separately
in each facility in accordance with §510.122(d)(5)(K) of this
subchapter.
(ii) When medical gas systems are provided, medical
gas alarms shall be provided in each facility.
(iii) A fire alarm system in accordance with §510.122(d)(5)(M)
of this subchapter shall be provided.
(B) Where applicable, the following systems may serve
more than one facility provided the systems meet the new construction
requirements of §510.122 of this subchapter:
(i) air-conditioning, heating and ventilating systems;
(ii) drainage systems;
(iii) elevators;
(iv) fire sprinkler systems;
(v) medical piping systems;
(vi) stand pipe systems;
(vii) steam systems;
(viii) water supply systems, hot and cold (including
emergency water storage); and
(ix) electrical service and equipment.
(I) Where applicable, the building electrical service,
lighting, essential electrical system, and fire alarm system, may
be a part of or extension of those in the existing host facility,
provided the existing systems meet these requirements. Power and lighting
distribution panels shall be within the facility served and comply
with the requirements of §510.122(d)(5)(E) of this subchapter.
Electrical installation details shall conform with all requirements
contained in §510.122(d)(5)(A) of this subchapter.
(II) When the existing essential electrical system
is non-conforming, the following options are available:
(-a-) a separate conforming essential electrical system
shall be provided in the new facility; or
(-b-) separate transfer switches connected to the existing
on-site generator(s) shall be provided when adequate capacity is available
and the existing non-conforming system shall be corrected. Corrections
shall be made in accordance with a plan of correction approved by
HHSC.
(b) Facilities located in buildings with hospitals
licensed under Texas Health and Safety Code Chapter 241. Before a
facility is licensed in a building containing a hospital licensed
under Texas Health and Safety Code Chapter 241 (241 hospital), the
following requirements shall be met.
(1) The facility shall be in one identifiable location
and shall be separated (vertically and horizontally) with two-hour
fire rated noncombustible construction from the 241 hospital and comply
with the requirements of this chapter.
(A) Access to the facility shall be directly from a
main lobby or an elevator lobby, if on an upper floor. The required
means of egress from the facility shall not be through the 241 hospital.
(i) Each facility and 241 hospital shall be identified
with external signage at the building entrance.
(ii) Internal signage shall provide direction to the
facility and to the 241 hospital.
(B) Common use of services and amenities using time-sharing
concepts may be permitted on a case by case basis when the 241 hospital
complies with the requirements contained in NFPA 101 Chapter 18, and §510.123
of this subchapter, and provided this chapter and the 241 hospital
licensing rules allow.
(2) The facility and the 241 hospital shall provide
services and amenities in accordance with their respective licensing
requirements.
(3) Additional services and amenities when required
in the facility or 241 hospital may be provided by contractual agreement
with either entity. Shared services and amenities shall meet the most
stringent entity licensing standard or rule. Some services may be
provided by contractual agreement with a commercial contractor; however,
the following minimal services and amenities shall be provided on-site:
(A) dietary services and dietary suite, including staff
dining amenities;
(B) cart cleaning and sanitizing services;
(C) general stores services;
(D) laboratory services and a laboratory suite;
(E) housekeeping rooms;
(F) parking;
(G) physical or occupational therapy services and amenities;
(H) imaging and other diagnostic services and amenities;
(I) respiratory care services and respiratory therapy
suite;
(J) body holding room;
(K) central sterile supply; and
(L) waste and waste disposal services, and waste processing
and storage units.
(4) The equipment and systems required in the facility
or 241 hospital may be provided exclusively for the facility or by
contractual agreement with a 241 hospital. Equipment and systems provided
shall be in accordance with the most stringent entity standard or
rule.
(A) The following equipment and systems shall be provided
for the exclusive use of the facility:
(i) a fire alarm system; and
(ii) nurses calling systems.
(B) Where applicable, the following systems may serve
more than one facility or 241 hospital:
(i) air-conditioning, heating, and ventilating systems;
(ii) drainage systems;
(iii) elevators;
Cont'd... |
