1126.96.36.199 Resident Room
In new construction and additions, the maximum room capacity shall be two patients. Resident sleeping areas in all double resident room designs shall be visually separated from each other by a full height wall or a permanently installed sliding or folding door or partition, and shall provide each patient direct use of and direct access to an exterior window at all times. Walls, doors, or partitions used to separate resident beds shall provide visual and acoustical separation. A door leading to each resident bed area in addition to the corridor door is not required. Other resident room arrangements where a permanent partition or door is not used to separate the resident sleeping areas may be utilized if adequate visual separation such as a cubicle curtain(s) and an exterior window for each individual resident sleeping area is provided. In this case individual thermostats for the resident bed areas shall not be required.
Exception: In small house skilled nursing facilities, resident sleeping areas in all double-resident room designs shall be visually separated from each other by a full-height wall or a permanently installed sliding or folding door or partition, and shall provide each patient direct use of and direct access to an exterior window at all times. Walls, doors, or partitions used to separate resident beds shall provide visual and acoustical separation.
Rooms shall have a minimum of 100 square feet (9.29 m2) of clear floor area per bed in double resident rooms and 120 square feet (11.15 m2) of clear floor area in single resident rooms, exclusive of the space consumed by toilet rooms, closets, lockers, wardrobes, lavatories, alcoves, and door swings into the room or entrance vestibules, whichever is greater. For the purpose of minimum clear floor area, the entrance vestibule is defined as that floor area located between the room entrance door and the room floor area containing the resident bed(s).
Dimensions and arrangement of resident rooms shall be designed to accommodate at least two bed positions to provide patient choice of bed placement. All such bed positions shall be designed so that the bed will not obstruct access to the supporting utilities serving the bed, such as the nurse call station, and the required electrical outlets that provide service for that bed. Only one bed position design shall be required for a bed that is equipped with a piped medical gas headwall unit, unless special requirements such as providing care for bariatric patients does permit the design of two bed positions in the room.
A 3 feet (0.91 m) wide clear access to each bed shall be provided along at least 75 percent of the length of one side of the bed and shall be designed to allow access for the use of a wheelchair and other portable equipment. For beds equipped with a piped-in medical gas headwall unit, there shall be a minimum of 3 feet (0.91 m) between the sides and foot of the bed and any wall or any other fixed obstruction. For planning purposes, a full-size bed is assumed to be 3 feet 6 inches (1.07 m) wide by 8 feet (2.43 m) long.
For renovations that alter the physical configuration of the resident room but have existing structural limitations that require two resident beds to be located in a shared resident sleeping area, there shall be a minimum of 3 feet (0.91 m) between the sides and foot of the bed and the adjacent bed. If one bed must be located to the side of the other bed, there shall be a clearance of 4 feet (1.22 m) to any fixed obstruction available at the foot of this bed to permit the passage of equipment and bed without moving the resident's bed located nearest to the room door.
Exception: In small house skilled nursing facilities, two beds shall not be permitted in a shared resident sleeping area.
Each patient shall have access to a toilet room without having to enter the general corridor area or the resident bed area in a shared resident room. One toilet room shall serve no more than two patients and no more than two resident rooms. The door to the toilet room shall be side hinged and either swing out from the toilet room, or be equipped with emergency release hardware. Sliding doors equipped with sliding door hardware located on the resident room side of the wall and not equipped with a bottom door track shall be permitted. If a sliding door is used in a resident toilet or bath room, a D-shaped handle at least 4 inches (10.16 cm) long shall be provided to open the door. The sliding door shall permit access, and negate the need to push against a patient who may have collapsed within the toilet room. Unless otherwise required by this code, this door shall be at least 36 inches (914.4 mm) wide. A lavatory shall be provided in each resident toilet room.
Each resident room shall be provided with a wardrobe or closet for each patient. Each wardrobe or closet shall have minimum inside dimensions of 2 feet (0.61 m) in depth by 1 foot 8 inches (0.51 m) in width. Each shall be accessible to the patient at all times and shall have adjustable shelf(s) and an adjustable clothes rod that is adjustable in at most 4 inches (10.16 cm) increments from 4 feet (1.22 m) to 5 feet 8 inches (1.73 m) above finished floor or higher as closet size permits. When the wardrobe or closet is designed to meet the requirements for accessibility per Chapter 11B of this code, it shall include additional accessible storage area(s) for full-length garments. The shelf may be omitted if the clothing unit provides at least two drawers. Locked storage for personal items shall be provided within the resident sleeping room or area.