All hospice inpatient facilities and units and residential facilities shall comply with the following design and construction standards. Enforcement and interpretation of these provisions shall be by the state agency authorized by Section 553.73, Florida Statutes.
Note: Other administrative and programmatic provisions may apply. See Department of Elder Affairs (DOEA) Rule 58A-2, Florida Administrative Code, Agency for Health Care Administration (AHCA) Rule 59C-1, Florida Administrative Code, and Chapter 400 Part VI, Florida Statutes.
The following are exempt from review under this section:
Change of the functional use
of a space, room or area
when no physical plant revisions are made or are required to be made by this code.
As used in this section, "inpatient facility
and unit" means the location where inpatient services are provided to hospice patients that are in need of hospice inpatient care.
As used in this section, the term "inpatient facility
" means a freestanding building or structure that houses inpatient beds licensed exclusively to the hospice program but does not house any inpatient beds licensed to a hospital or nursing home.
As used in this section, the term "unit" means a distinct part
, section, wing or unit within a hospital or nursing home that houses beds licensed to the hospital or nursing home but which is leased by a hospice for the provision of hospice inpatient care to its patients.
The National Fire Protection Association Life Safety Code 101
, Chapter 18
, New Health Care Occupancy
as applicable to nursing homes
, as described in Rule 69A-3.012, Florida Administrative Code
, Standards of the National Fire Protection Association and incorporated by reference in Rule 69A-3.012, Florida Administrative Code
and units licensed by the Agency
for Health Care Administration shall be in compliance with National Fire Protection Association Life Safety Code 101
, Chapter 19
Health Care Occupancy
, as applicable to nursing homes
and incorporated by reference in Rule 69A-3.012, Florida Administrative Code
The following shall be provided in each inpatient facility
Each new patient sleeping room shall have a minimum room area
exclusive of toilet room, or permanently attached or built-in closets, lockers or wardrobes, of 120 square feet (11.15 m2
) per bed for private rooms and 100 square feet (9.29 m2
) per bed for double occupancy
In new construction and additions
, the maximum room capacity of each patient room shall be two persons. In double occupancy
patient rooms, sleeping areas
shall be separated from each other by a wall
or partition to increase acoustic and visual privacy. Each person lying in bed shall have direct visual access to an exterior window at all times. For visual privacy, either doors or cubicle curtains to these individual patient sleeping areas
shall be provided.
The design for privacy shall not restrict a patient's access at any time to the room entrance, resident
armchair, toilet or bathroom, wardrobe, exterior window or closet.
Each patient sleeping room shall have a window(s), with a maximum sill height of 36 inches (0.914 m) for any building constructed after July 5, 2016, or door with a clear glass light in compliance with Section 1205.2
of this code. The window or door shall open directly to an atrium
or to the outside of the building with a minimum of 20 feet (6.10 m) in clear and unobstructed vista measured perpendicularly from the window or door.
Each patient sleeping room shall have a wardrobe, locker or closet suitable for hanging clothing of the patient.
Each patient sleeping room shall have access to a toilet room without having to enter the general corridor area
. One toilet room shall serve no more than two beds and no more than one resident
room unless the hospice unit is located inside of an existing
hospital or nursing home.
The door shall be side hinged and swing out from the toilet room, or shall be a sliding barn-type door without a bottom track and have at least 32 inches (813 mm) wide clear opening.
The toilet room shall contain a water closet with grab bars on both sides.
The water closet shall be equipped with a bedpan-rinsing device unless the Functional Program as described in Part 1 of the Guidelines for the Design and Construction of Residential Health, Care, and Support Facilities
as referenced in Chapter 35
provides for disposable bedpans after every use
There shall be an emergency nurse call station inside of each toilet room.
A hand washing facility
shall be provided within each patient toilet room or, if the hospice unit is located inside of an existing
hospital or nursing home, within each patient bedroom.
A nurses' station, clean workroom and soiled workroom shall be provided. Access to these rooms shall be from a corridor
or ante room.
A charting space for clinical staff shall be provided at each nurses' station.
A hand washing facility
shall be located in or near each nurses' station.
The clean workroom shall be provided with a work counter, hand wash facility
, storage facilities
and covered waste receptacle.
The soiled workroom shall be provided with a service sink equipped with rinsing device, work counter, a hand-washing facility
, storage facilities
, covered waste receptacle and covered linen receptacle.
A drug distribution system shall be provided with provisions for the locked storage of medications. The use
of the clean workroom for drug distribution shall be permitted.
A clean linen storage room or closet shall be provided.
A nourishment station with equipment for preparing or serving nourishments between scheduled meals shall be provided and shall be available for patient, family, volunteers, guests and staff use
. Provisions shall be made for the use
and storage of small appliances such as coffee makers or toasters. A minimum of two duplex receptacles connected to a small appliance circuit shall be provided.
Storage for administrative supplies shall be provided.
Parking for stretchers and wheelchairs in an area
out of the path of normal traffic and of adequate size for the unit shall be provided.
A janitor's closet with a floor drain and storage space for housekeeping equipment and supplies shall be provided.
A multipurpose lounge suitable and furnished for reception, recreation, dining, visitation, group social activities and worship shall be provided.
A conference or consultation room for patient and family use
shall be provided for every hospice facility
A washer and dryer for patients' personal use
shall be provided.
A centralized resident
bathing room(s) shall be provided with a minimum of one bathtub, hydro tub or shower for every 20 hospice inpatients or fraction thereof not otherwise served by shower facilities
designed to accommodate a shower chair, connected directly to the resident
A separate private toilet room shall be provided that is directly accessible to each central bathing area
with multiple bathing fixtures without requiring entry into the general corridor
All showers located in bathing rooms connected directly to the resident
rooms shall be designed so that a shower chair can be easily rolled in and out of the shower area
Fixtures, such as drinking fountains, public telephone, vending machines and portable equipment, shall not be located or stored so as to restrict corridor
traffic or reduce the minimum required corridor
Doors to patient tub rooms, showers and water closets that swing into the room shall be equipped with reversible hardware that will allow the door to swing out in an emergency.
Windows and outer doors, if operable, shall be equipped with insect screens.
Interior thresholds and expansion joint
covers shall be made flush with the floor surface.
Grab bars shall be provided at all patient toilets, showers and tubs. The bars shall have a clearance of 11
inches (38 mm) to the walls
and shall be sufficiently anchored to sustain a concentrated applied load of not less than 250 pounds (113 kg).
Single paper towel dispensers, soap dispensers and covered waste receptacles shall be provided at all hand washing facilities
Staff hand washing facilities
shall be fitted with wrist blades and a gooseneck-type spout.
All hand washing facilities
shall be securely anchored to withstand an applied vertical load of not less than 250 pounds (113 kg) on the front of the fixture.
In new multistory units
an elevator shall be provided in compliance with the requirements of Chapter 30
of the Florida Building Code, Building
. In addition, a hospital-type elevator large enough to accommodate a bed and attending staff shall service all patient sleeping rooms and patient treatment areas
located above the ground floor. The car shall be at least 5 feet 8 inches (1.73 m) wide by 9 feet (2.74 m) deep and the car doors shall have a clear opening of not less than 4 feet (1.22 m) wide and 7 feet (2.13 m) high.
All patient-occupied areas
shall be heated or cooled by individual or central units. Heating units shall be designed to provide a minimum of 72°F (22.22°C) ambient indoor temperature and air conditioning units shall be designed to provide a minimum of 78°F (25.55°C) ambient indoor temperature.
All air-supply and air-exhaust systems shall be mechanically operated. Fans serving exhaust systems shall be located at the discharge end of the system.
Water distribution systems shall be arranged to provide hot water at each hot water outlet at all times. Hot water at shower, bathing, and hand washing facilities
for patients' personal use
shall not exceed 110°F (43.3°C).
All spaces occupied by people, machinery and equipment within the building, approaches to the building and parking areas
shall have electric lighting.
All patients' rooms shall have general lighting and night lighting. General room luminaires shall be switched at the entrance to the patient room.
All patient rooms shall have hospital grade
duplex grounding-type receptacles.
A Type III essential electrical system shall be provided in all hospice facilities
as described in National Fire Protection Association Life Safety Code
99, "Health Care Facilities
", and incorporated by reference in Rule 69A-3.012, Florida Administrative Code
. The emergency power for this system shall meet the requirements of a Level II, type 10, Class 48 generator as described in National Fire Protection Association Life Safety Code
110, "Emergency Standby Power Systems
", and incorporated by reference in Rule 69A- 3.012, Florida Administrative Code
The essential electrical system shall have at a minimum one transfer switch. Separate electrical branches are not required.
There shall be selected life safety lighting provided at a minimum of 1 footcandle (10 lux) and designed for automatic
dusk-to-dawn operation along the travel paths from the exits
to the public way
or to safe areas
located a minimum of 30 feet (9.14 m) from the building.
A minimum of one elevator per bank serving any patient use
floor shall be connected to the essential electric system and arranged for automatic
operation during loss of normal power. Elevator cab lighting, controls, and communication and signal systems shall be connected to the essential electrical system.
If required by the facility
's emergency food plan, there shall be power connected to the essential electrical system for kitchen refrigerators, freezers and range hood exhaust fans. Selected lighting within the kitchen and dry storage areas
shall be connected to the essential electrical system.