| (2) specimen collection facilities. For dip stick urinalysis,
urine collection rooms shall be equipped with water closet and lavatory.
Blood collection facilities shall have space for a chair, work counter
and hand washing facilities.
(d) Laundry and linen storage and processing suite.
Clean linen shall be available in a quantity sufficient to meet the
needs of the residents. Clean linens shall be stored in clean linen
storage areas.
(1) The SCF shall provide an area or room with a washer
and dryer for resident use.
(2) In a facility classified as a large RBCF or a LCF,
soiled and clean processing operations shall be separated and arranged
to provide a one-way traffic pattern from soiled to clean areas.
The following rooms and items shall be provided:
(A) a soiled linen processing room which includes areas
for receiving, holding, sorting, and washing;
(B) a clean linen processing room which includes areas
for drying, sorting, folding, and holding prior to distribution;
(C) supply storage cabinets in the soiled and clean
linen processing rooms;
(D) hand washing facilities within the soiled linen
processing room; and
(e) Medication room. The medication room shall be in
compliance with the spatial and security requirements under §125.32(c)(7)(D)
of this title.
(f) Resident bedroom suite.
(1) Bedrooms shall be arranged and equipped for adequate
delivery of services and for comfort and privacy.
(2) Useable bedroom clear floor space shall be not
less than 80 square feet for a one-bed room and not less than 60 square
feet (40 square feet where bassinets or cribs are used) per bed for
a multiple-bed room. Larger rooms are recommended for those residents
needing nursing care. A bedroom shall be not less than eight feet
in the smallest dimension.
(3) No more than four beds shall be in any bedroom.
(4) In the bedrooms and for each resident there shall
be a bed, chair, table, dresser, and closet space or wardrobe providing
security and privacy for clothing and personal belongings.
(5) Each resident bedroom shall have at least one operable
outside window that can be readily opened from the inside without
the use of tools. The height of the windowsill shall not exceed 36
inches from the floor. Operable window sections may be restricted
for security or safety reasons, but the required one operable section
shall not be restricted to less than six inches. Each window shall
be provided with a flame-retardant shade, curtain, or blind.
(6) All resident rooms shall open upon an egress corridor
leading to an exterior exit either by stairway or a door opening to
the exterior.
(7) All resident rooms shall be arranged for convenient
and sheltered resident access to living or public areas, restrooms,
and dining facilities.
(g) Resident toilet and bathing facilities.
(1) If the SCF houses both male and female residents,
all bedrooms shall have separate private, connecting, or general toilet
rooms for each sex. The general toilet room or bathing room shall
be accessible from a corridor or public space. A lavatory shall be
readily accessible to each water closet. The facility shall provide
at least one full bath on each resident sleeping floor.
(2) One water closet and one lavatory shall be provided
for each four residents or fraction thereof. One tub or one shower
shall be provided for each six residents or fraction thereof.
(3) Privacy partitions and shields shall be provided
at water closets and bathing units in rooms for multi-resident use.
(4) A public or staff toilet, commode and lavatory,
complying with accessibility standards, is required for every facility
up to and including 50 beds. Facilities over 50 beds must have separate
public toilets and staff toilets (this is in addition to the staff
toilet(s) required for the dietary staff).
(5) All bathrooms, toilet rooms, and other odor-producing
rooms shall be ventilated with operable windows or powered exhaust
to the exterior for order control.
(6) Soap and towel dispensers shall be provided at
all hand washing facilities.
(h) Recreation, living, or day room.
(1) Recreation, living, or day room space and furniture
shall be provided to allow seating of residents. Each facility shall
have at least one space of not less than 144 square feet. A facility
with a capacity of nine or more residents shall provide a space of
10 square feet more per resident in addition to the 144 square feet
minimum.
(2) At least one of the recreation, living, or day
room areas shall have exterior windows providing a view to the outside.
(i) Additional service areas.
(1) Janitor's closet. A sufficient number of janitor
closets shall be provided throughout the facility to maintain a clean
and sanitary environment. The closet shall contain a floor receptor
or service sink and storage space for housekeeping supplies and equipment.
(2) Storage room. A resident storage room shall be
a minimum of 50 square feet per six resident beds or fraction thereof.
(3) Medical gas storage room. When provided or required
by National Fire Protection Association 101, (NFPA 101), Code for
Safety to Life from Fire in Buildings and Structures, 2000 edition,
a medical gas storage room shall comply with the requirements of NFPA
99, Chapter 4-4, Gas and Vacuum Systems. All documents published by
the ASME/ANSI as referenced in this section may be obtained by writing
the ANSI, 25 West 43rd Street, New York, N.Y. 10036. All documents
published by NFPA as referenced in these rules may be obtained by
writing or calling the NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471,
or (800) 344-3555.
(4) Area for emergency crash cart, if provided. An
area or alcove located out of traffic and conveniently located near
medication room or similar staff control room shall be provided for
an emergency crash cart.
(5) Medical waste processing. Space and facilities
shall be provided for the safe storage and disposal of waste as appropriate
for the material being handled and in compliance with all applicable
rules and regulations.
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