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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 554NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
SUBCHAPTER DFACILITY CONSTRUCTION
DIVISION 3PROVISIONS APPLICABLE TO ALL FACILITIES
RULE §554.326Safety Operations

  (2) maintained in accordance with dispenser manufacturer guidelines.

(n) A facility must not store or leave unattended medical equipment, carts, wheelchairs, tables, furniture, dispensing machines, or similar physical objects in corridors or other ways of egress, except as permitted by NFPA 101.

(o) A facility must keep smoke doors, fire doors, and doors to hazardous rooms in the facility closed and not prop or wedge a door open. The facility may use only approved devices to hold open a door, such as alarm-activated electromagnetic hold-open devices, as permitted by NFPA 101.

(p) The facility must post building evacuation routes at prominent locations throughout the facility.

(q) A facility must provide approved electrical receptacles in quantity and location for the normal use of appliances in the facility.

(r) A facility must not use electrical extension cords or multi-receptacle plug-in adaptors as a substitute for approved wiring methods in the facility.

(s) A facility may use a listed and approved surge-protection device for equipment for which the manufacturer recommends surge protection, but in no case may the facility use a surge-protection device to increase the number of existing electrical outlets in a room.

(t) A facility must remove all abandoned utilities, such as electrical wiring, ducts, and pipes, from the facility when no longer in use. The facility may, however, leave an existing damper that is no longer required by NFPA 101 in-place and inoperable, if the damper is in a duct penetration of a smoke barrier in a fully ducted heating, ventilating, and air conditioning system; the damper is permanently secured in the open position; and quick-response sprinklers have been provided for the smoke compartments on both sides of the smoke barrier.

(u) In operations where there is a chance of cross-contamination, clean and soiled operations must be separated to lessen the chance of cross-contamination by facility employees, residents, and others. This separation must be in relation to traffic flow, air currents, air exhaust, water flow, vapors, and other conditions.

(v) A facility must have and implement as necessary a fire safety plan that:

  (1) includes the provisions described in the Operating Features section of NFPA 101, Chapter 18 New Health Care Occupancies and Chapter 19, Existing Health Care Occupancies and concerning:

    (A) use of alarms;

    (B) transmission of alarms to fire department;

    (C) emergency phone call to fire department;

    (D) response to alarms;

    (E) isolation of fire;

    (F) evacuation of immediate area;

    (G) evacuation of smoke compartment;

    (H) preparation of floors and building for evacuation; and

    (I) extinguishment of fire;

  (2) includes procedures for:

    (A) conducting a fire drill on each work shift at least once per quarter with at least one fire drill conducted each month; and

    (B) completing the most current version of the required HHSC form titled "Fire Drill Report" available on the HHSC website for each fire drill conducted.

(w) Floors, walls, and ceilings.

  (1) Floors of the facility must be level, smooth, and free of any irregularities that might affect safety.

  (2) Walls and ceilings not specifically described elsewhere in this chapter must be cleanable, maintained attractively, and in good repair.

  (3) Walls and floors must be kept free of cracks. The joint between the walls and floors is to be maintained so as to be free of spaces that might harbor insects, rodents, or vermin.

(x) All gas heating systems must be checked annually for proper operation and safety by persons who are licensed or approved by the State of Texas to inspect such equipment. A record of this service must be maintained by the facility. Any unsatisfactory condition must be corrected promptly.

(y) A facility must have an annual inspection by the local fire marshal and maintain documentation of such an inspection at the facility.


Source Note: The provisions of this §554.326 adopted to be effective August 1, 2011, 36 TexReg 4668; amended to be effective March 22, 2018, 43 TexReg 1646; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871; amended to be effective January 2, 2022, 46 TexReg 9037

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