Part 1 General

Part 2 Common Elements for Residential Health, Care, and Support Facilities

Part 3 Residential Health Facilities

Part 4 Residential Care and Support Facilities

Part 5 Non-Residential Support Facilities

Heads up: There are no amended sections in this chapter.
Appendix material, shown in shaded boxes at the bottom of the page, is advisory only.
The requirements in this chapter shall be met in any location where rehabilitation therapy services are provided.
This chapter applies to facilities where outpatient rehabilitation services and therapies are provided.
A5.3-1.1.1.1 Outpatient rehabilitation facilities may be freestanding or attached to a residential health, care, or support facility. Rehabilitation therapy is primarily intended to restore body functions. In mental health facilities, it may be used to diagnose and treat mental functions and to address physical functions to varying degrees. In both cases, one or several categories of services may be offered.
The therapies and services offered in an outpatient rehabilitation therapy program may include the following:
  1. Physical therapy
    • -Ultrasonics
    • -Hydrotherapy
    • -Thermotherapy
    • -Diathermy
  2. Speech and hearing therapy
  3. Occupational therapy
    • -Activities of daily living therapy
    • -Recreation therapy. Recreation therapy assists outpatients in the development and maintenance of community living skills through the use of leisure-time activity tasks. These activities may occur in a recreation therapy area, specialized facilities (e.g., a gymnasium), a multipurpose space in another area, or outdoors.
    • -Education therapy
    • -Vocational therapy. Vocational therapy assists outpatients in the development and maintenance of productive work and interaction skills through the use of work tasks. These activities may occur in an industrial therapy workshop, in another department, or outdoors.
    • -Other occupational therapy activities. Occupational therapy may include such activities as woodworking, leather-tooling, art, needlework, painting, sewing, metalwork, and ceramics.
  4. Prosthetics and orthotics
The common elements in Part 2 of the Guidelines for Residential Care Facilities shall apply to outpatient rehabilitation therapy facilities where they are referenced in this chapter.
See Section 2.2-2 (Sustainable Design Criteria) for requirements for outpatient rehabilitation therapy facilities.
Where the care population includes persons of size, see Section 2.2-3 (Design Criteria for Accommodations for Care of Persons of Size) for requirements.
Where the care population includes outpatients with dementia, mental health issues, or cognitive and developmental disabilities, see Section 2.2-4 (Design Criteria for Dementia, Mental Health, and Cognitive and Development Disability Facilities) for requirements.
See Section 1.2-2 (Functional Program) and Section 1.2-3 (Resident Safety Risk Assessment) for requirements.
Where an outpatient rehabilitation therapy facility is part of (or contractually linked with) another facility, sharing of services and space for home health, dietary, storage, pharmacy, linen, and other services shall be permitted insofar as practical.
A5.3-1.2.2.1 Shared services and space. In some cases, ancillary service requirements will be met by the principal facility and the only modifications necessary will be in the support facility. In other cases, programmatic concerns and requirements may dictate separate service areas.
Where a project calls for sharing or purchasing services from another entity, appropriate modifications in the requirements for space and parking shall be permitted.
An outpatient rehabilitation facility located in a facility housing other services shall have its own identifiable space.
All support spaces shall be permitted to be shared.
See Section 1.2-1.3 (Environment of Care and Facility Function Considerations) and Section 1.2-4 (Environment of Care Requirements) for requirements.
A5.3-1.3 Environment of care. Person-centered care in the long-term continuum of care should address movement away from institutional models toward models that are more residentially scaled, facilitate wayfinding, and provide a comfortable environment for the population served through provision of appropriate lighting and acoustics.
  1. Outpatient rehabilitation therapy facilities should be designed to provide flexibility to meet the changing needs of the care population(s) served and the types of care services provided.
  2. The facility design should produce a supportive environment to enhance and extend quality of life for facility users and promote their privacy and dignity while they receive care and services.
  3. Facility design should maximize opportunities for ambulation and minimize the negative aspects of an institutional environment.
  4. The architectural environment should eliminate as many barriers to effective access to and use of space, services, equipment, and utilities as possible.
  5. Facilities should provide accessibility for outpatients with disabilities in accordance with the state or local building code and the Americans with Disabilities Act.
See Chapter 1.3 (Site Selection) and Chapter 2.1 (Site Elements) for requirements.
Fire department and emergency vehicle access shall be provided in accordance with local requirements.
A5.3-1.4.2.1 Emergency access. Other vehicular or pedestrian traffic should not conflict with access for emergency vehicles.
See 2.1-2.2 (Availability of Transportation) for requirements.
See Section 2.1-2.3 (Security) for requirements.
See Section 1.3-2.4 (Access to Utilities) and Section 2.1-2.4 (Access to Utilities) for requirements.
See Section 2.1-3.1 (Roads) for requirements.
Accessible paved walkways shall be provided for pedestrian traffic.
  1. In the absence of local requirements, each facility shall have parking spaces to satisfy the needs of users, staff, and visitors.
  2. Reduction of parking requirements shall be permitted, as acceptable to local authorities having jurisdiction (AHJs).
See Section 1.2-4.5.3 (Signage and Wayfinding) and Section 2.4-2.2.12 (Signage and Wayfinding) for requirements.
See Section 2.1-3.5 (Site Lighting) for requirements.
  1. General. See Section 1.2-4.5.1 (Light) and Section 1.2-4.5.2 (Views of and Access to Nature) for requirements.
  2. Outdoor water features. See Section 2.1-3.6.3 (Outdoor Water Features) for requirements.
See Section 1.2-2.2.2.2 (1) (Site) and Section 2.2-2.1 (Sustainable Site Design) for requirements.
See Section 2.3-2.3.1 (Resident, Participant, and Outpatient Areas-General) for requirements.
See Section 2.3-2.3.1 (Resident, Participant, and Outpatient Community Areas-General) for requirements.
Where an outpatient rehabilitation facility has a separate entrance and lobby, see Section 2.3-2.3.2 (Lobby) for requirements.
The waiting room capacity needed for each therapy provided shall be based on the care population being served.
Outpatient waiting area(s) shall be located out of traffic with provisions for wheelchairs and other outpatient-operated mobility devices.
A drinking water source shall be provided for outpatient use.
Where kitchen facilities with an operating kitchen (rather than a mock-up for therapy only) are provided, the following requirements shall apply:
A5.3-2.3.4 Outpatient therapy kitchen. Examples of outpatient therapy kitchen facilities include a country kitchen or residential kitchen for continued or improved involvement in instrumental activities of daily living.
Design of the outpatient therapy kitchen to support cooking activities used for occupational and physical therapy shall be permitted:
Where provided, outpatient therapy kitchen facilities shall include the following:
  1. Work counter
  2. Refrigerator
  3. Storage cabinets
  4. Sink
  5. Range, cooktop, and/or oven with emergency shutoffs. Provision of a functional cooking appliance shall be permitted.
  6. Dishwasher
  7. Hand-washing station. This shall be located in or immediately accessible from the therapy kitchen facilities. See Section 2.4-2.2.8 (Hand-Washing Stations) for requirements.
See Section 2.1-3.6.2 (Outdoor Activity Spaces) for requirements.
See Section 2.3-3.1 (Diagnostic and Treatment Areas-General) for requirements in addition to those in this section.
Where two or more rehabilitation therapies and services are provided, sharing of facilities and equipment between the therapies and services shall be permitted.
Where physical and/or occupational therapy is offered, the requirements in this section shall be met.
Space shall be provided for carrying out each type of therapy and service provided. Space shall be permitted to be shared with another function.
(1)  Where an individual therapy room(s) is provided, it shall meet the requirements in this section.
*(2)  Space requirements shall be based on the equipment used for therapy. Space provided shall allow access to the equipment when in use by the outpatient and the therapist.
(a)  Area
(i)  An individual therapy room shall have a minimum clear floor area of 80 square feet (7.43 square meters).
(ii)  For design criteria for accommodations for care of persons of size, see Section 2.3-3.2.2.1 (2) (Examination and Treatment Room Space Requirements-Area) for requirements.
(b)  Clearances. Room arrangement shall permit a minimum clearance of 2 feet 8 inches (81.28 centimeters) on at least three sides of the therapy furniture and equipment.
A5.3-3.2.2.1 (2) Therapy room space requirements. Depending on the care population, most therapy spaces may need to be larger than 80 square feet (7.43 square meters) to accommodate outpatients using mobility devices. For additional information, see Section 2.3-3.2.2.2 (Examination and Treatment Room Space Requirements-Clearances).
Where individual therapy areas are provided in a larger therapy or exercise area, each therapy space shall have a minimum clear floor area of 80 square feet (7.43 square meters).
Hand-washing station(s) shall be provided.
  1. Hand-washing stations shall be permitted to serve several therapy spaces.
  2. See Section 2.4-2.2.8 (Hand-Washing Stations) for requirements.
Where retraining, educational, or small group therapies are provided for outpatients, at least one classroom shall be provided.
  1. Each classroom shall provide 30 square feet (2.79 square meters) per outpatient in addition to space for the instructor and instructional resources.
  2. At minimum, each classroom shall have an area of 150 square feet (13.94 square meters).
A physical therapy exercise area shall be permitted to be shared with other fitness training spaces, based on the services being provided and the setting (e.g., a stand-alone facility versus one that is part of a continuing care retirement community).
  1. The layout of the exercise area shall include a staff work area arranged so that staff can view activities taking place in the exercise area.
  2. An open, barrier-free space for rehab therapy shall be provided based on the following:
    1. Number of patients treated at the same time
    2. Number of staff members present at the same time
    3. Clearance requirements for equipment used
At least one hand-washing station shall be provided in the exercise area. See Section 2.4-2.2.8 (Hand-Washing Stations) for requirements.
See Section 2.3-3.23 (Resident, Participant, and Outpatient Privacy) for requirements in addition to those in this section.
Windows in therapy rooms or areas shall have window treatments to provide outpatient privacy.
Where multiple therapies occur in an exercise or therapy area, individual therapy spaces shall have provisions for privacy.
A5.3-3.2.6 Therapeutic pool. Where a therapeutic pool is provided, consider complying with the Arthritis Foundation Aquatics Facility Guidelines. Also refer to the CDC Web page "Design and Operation of Pools and Hot Tubs" for additional information. Also see appendix section A5.2-2.3.3.3 (3) (Aquatic center) for information on aquatic facilities.
Where therapy services include use of a pool, the pool shall be large enough to accommodate the number of patients to be served at one time.
An outpatient changing area shall be provided where therapy services include use of a pool.
  1. The outpatient changing area shall consist of single unisex rooms or a locker room to service multiple people of the same sex.
  2. The outpatient changing area shall be directly accessible to the pool without entering public or exercise areas.
  3. A toilet room shall be provided that is directly accessible to the changing area.
  4. At least one shower shall be provided separate from the toilet room.
  5. Securable lockers shall be provided.
Separate storage for pool chemicals and testing equipment shall be provided. Pool chemicals and supplies shall not be stored in an environmental services room.
A5.3-3.2.6.3 Pool chemical storage. See the Environmental Protection Agency publication "Safe Storage and Handling of Swimming Pool Chemicals" for more information.
Where space for evaluation and fitting of prosthetics and orthotics is provided, it shall meet the requirements in this section.
Space for evaluation and fitting of prosthetics and orthotics shall have provision for privacy.
  1. If staff is required to work with or mix wet material or handle material or chemicals that are caustic to the skin, a hand-washing station and an eyewash station shall be provided.
  2. If staff is not required to work with or mix wet material or handle material or chemicals that are caustic to the skin, provision of a hand sanitation dispenser or a hand-washing station shall be permitted.
Where running water is needed for materials preparation in the prosthetic and orthotic areas, a clinical sink(s) shall be provided in accordance with Section 2.5-2.3.5 (Clinical Sinks).
Where speech and hearing therapies are offered, room(s) that meet the requirements in this section shall be provided.
Speech and hearing therapy rooms shall have a clear floor area of 80 square feet (7.43 square meters).
  1. A gasketed door with a sweep shall be provided in speech and hearing room(s)
  2. The room design shall minimize external sound from high-traffic, public, and similarly noisy areas.
A hand-washing station shall be provided in speech and hearing room(s).
A5.3-3.3.3 Additional therapy services. These services may include social services, psychological services, and vocational services.
Where other services are provided, dedicated diagnostic and treatment area(s) to accommodate those services shall be provided, including work space for therapists.
  1. A hand-washing station shall be provided for any additional therapy rooms provided.
  2. Where additional areas are shared with other therapy areas, a hand-washing station shall also be permitted to be shared with those areas.
See Section 2.3-4.1 (Facilities for Support Services-General) for functional, size, and location requirements.
See Section 2.3-4.2.1 (Staff Work Area) for requirements in addition to those in this section.
Accommodations for written and/or electronic documentation shall be provided in all therapy service areas.
A5.3-4.2.1.2 Documentation area. Accommodations should include a writing surface and/or area with storage for an electronic device.
Where therapy services provided include a focus on residential activities of daily living, including bathing, a mock-up or real residential-style bathroom shall be provided for therapy activities.
Where required by the therapy program, the following shall be provided:
  1. Changing areas
  2. Toilets
  3. Showers
  4. Securable lockers
A toilet room with space for toilet training for outpatients shall be provided.
  1. Storage for clean linen and towels shall be provided in cabinets, closets, or separate storeroom(s).
  2. Separate storage for soiled linen, towels, and supplies shall be provided.
Designated storage for therapeutic equipment, safety devices, and other clinical supplies shall be provided for the following areas when they are part of the clinical services offered by the facility:
  1. Exercise area(s)
  2. Therapy room(s) and therapy area(s)
  3. Pool area(s)
  4. Prosthetic, orthotic, speech, hearing, or other clinical services
Where the therapy services provided include washing laundry, folding clothing, and other laundry-related activities of daily living, the outpatient setting shall include a washer and a dryer.
See Section 2.3-4.3.1 (Support Areas for Staff-General) for requirements.
Where pet therapy is offered in the outpatient rehabilitation facility, see Section 2.3-4.4.3 (Pet Accommodations) for requirements.
Where a contract service is used in lieu of the facilities in Section 5.3-4.2.7 (Personal Laundry Facilities) and linen is processed off-site, the following shall be provided:
A service entrance, protected from inclement weather, shall be provided for loading and unloading of linen. This can be shared with other services and serve as the loading dock for the facility.
A control station for pickup and receiving shall be provided. This can be shared with other services and serve as the service receiving and pickup point for the facility.
See Section 2.3-4.7 (Materials Management Facilities) for requirements.
Sharing of materials management areas with other health, care, and support facilities shall be permitted.
See Section 2.3-4.8 (Waste Management Facilities) for waste collection, storage, and disposal requirements.
Sharing of waste collection, storage, and disposal facilities with other health, care, and support facilities shall be permitted.
See Section 2.3-4.9 (Environmental Services Rooms) for requirements.
Sharing of environmental services rooms with other health, care, and support facilities shall be permitted.
See Section 2.3-4.10 (Facilities for Engineering and Maintenance Services) for requirements.
Sharing of facilities for engineering and maintenance services with other health, care, and support facilities shall be permitted.
Administrative areas shall be provided to support the administrative services performed in the outpatient rehabilitation center as indicated by an evaluation of staffing needs.
Staff office space and file storage shall be provided based on the staff required to operate and provide therapy services.
Reception shall be permitted to be combined with office and clerical space.
Space for storage of office equipment and supplies shall be provided based on staff requirements and outpatient needs.
See Section 2.4-1.2 (Building Codes and Standards) for requirements.
See Section 2.4-2.1 (Architectural Details, Surfaces, and Furnishings-General) for requirements.
See Section 2.4-2.2.1 (Architectural Details-General) for requirements.
See Section 2.4-2.2.2 (Corridors) for requirements.
See Section 2.4-2.2.3 (Ceiling Height) for requirements.
  1. Door type
    1. Doors to all rooms containing bathtubs, showers, and toilets for outpatient use shall be hinged, sliding, or folding.
    2. Manual or automatic sliding doors shall be permitted where their use does not compromise fire and other emergency exiting requirements.
  2. Door openings. See Section 2.4-2.2.4.2 (Door openings) for requirements.
  3. Insect screens. See Section 2.4-2.2.4.3 (Insect screens) for requirements.
A5.3-5.2.2.4 Door protection. See appendix section A2.4-2.2.4 (Door protection) for recommendations.
See Section 2.4-2.2.5 (Thresholds and Expansion Joint Covers) for requirements.
See Section 2.4-2.2.6 (Windows) for requirements.
See Section 2.4-2.2.7 (Glazing Materials) for requirements.
  1. See Section 2.4-2.2.8 (Hand-Washing Stations) for requirements.
  2. Omission of the mirror shall be permitted.
*(1)  Grab bars shall be installed at all outpatient toilets, showers, and tubs.
(2)  Alternative grab bar configurations. See Section 2.4-2.2.9.3 (Alternative grab bar configurations) for additional information.
(a)  Where independent transfers are feasible, alternative grab bar configurations shall be permitted.
(b)  The care population shall be evaluated to determine alternative grab bar configurations that meet specific outpatient needs.
(3)  For wall-mounted grab bars, a minimum clearance of 1.5 inches (3.81 centimeters) from walls shall be provided.
(4)  Grab bar load requirements shall be evaluated for alignment with the needs of the care population.
(a)  Grab bars, including those that are part of fixtures such as soap dishes and toilet paper holders, shall have the strength to sustain a concentrated load of 250 pounds (113.4 kilograms).
(b)  If a population includes persons of size, grab bars installed in areas intended for use by persons of size shall be anchored to sustain a minimum concentrated load of 800 pounds (362.88 kilograms).
(5)  Grab bars shall have a finish color with a value that contrasts with the adjacent wall surface.
(6)  Grab bars shall be returned to the wall or floor with eased corners where a mitered corner condition exists.
A5.3-5.2.2.9 (1) Grab bars in toilet rooms
  1. Grab bars in toilet rooms should allow outpatients to be as safe and independent as possible. This includes using swing-up grab bars, where needed, with or without integral toilet paper holder.
  2. If outpatients who require a physical lift by two staff members are served at the facility, toilets used by outpatients should have a minimum clearance of 24 inches (60.96 centimeters) from the centerline of the toilet bowl to the wall to enable physical access and maneuvering by staff, who may have to assist the outpatient in wheelchair-to-toilet transfers and return.
  3. Grab bars in toilet rooms should allow staff to complete a two-person transfer for a single outpatient. This includes evaluation of the toilet in relation to the wall and the grab bars provided. Clearance is required on both sides of the toilet for a double transfer to occur.
See sections 2.4-2.2.10.1, 2.4-2.2.10.2, and 2.4-2.2.10.5 through 2.4-2.2.10.10 in Section 2.4-2.2.10 (Handrails and Lean Rails) for requirements.
See appendix section A5.3-5.2.2.11 (Protection from heated surfaces) for recommendations.
A5.3-5.2.2.11 Protection from heated surfaces
  1. Where cooking accommodations are provided for rehabilitation services, inclusion of emergency shutoffs should be considered where cooking appliances are fully installed.
  2. Many rehabilitation facilities include activity and/or rehabilitation kitchens that may be used in a support hub or country kitchen. Heated surfaces referenced in this section are intended to include those surfaces to which outpatients have normal access that exceed 110°F (43° C). This requirement does not extend to medical or therapeutic equipment.
See Section 2.4-2.2.12 (Signage and Wayfinding) for requirements.
Where decorative water features are used in the facility design, see appendix section A2.4-2.2.13 (Decorative water features) for recommendations.
See Section 2.4-2.3 (Surfaces) for requirements.
See Section 2.4-2.4 (Furnishings) for requirements.
See Section 2.5-1 (Building Systems-General) for requirements.
See Section 2.5-2.1 (Plumbing Systems-General) for requirements.
See Section 2.5-2.2 (Plumbing and Other Piping Systems) for requirements.
See Section 2.5-2.3.1 (Plumbing Fixtures-General) for requirements.
See Section 2.5-2.3.2 (Hand-Washing Sinks) for requirements.
See Section 2.5-2.3.3.2 (Accessible showers) for requirements.
Where clinical sinks are provided in an outpatient rehabilitation therapy facility, see Section 2.5-2.3.5 (Clinical Sinks) for requirements.
Where portable hydrotherapy whirlpools are used in an outpatient rehabilitation therapy facility, see Section 2.5-2.3.6 (Portable Hydrotherapy Whirlpools) for requirements.
For basic HVAC system requirements for outpatient rehabilitation therapy facilities, see ANSI/ASHRAE Standard 62.1: Ventilation for Acceptable Indoor Air Quality.
See Section 2.5-3.1.2 (Ventilation and Space Conditioning) for requirements.
See Section 2.5-3.2 (Mechanical System Design) for requirements.
See ANSI/ASHRAE Standard 62.1: Ventilation for Acceptable Indoor Air Quality for basic HVAC system requirements.
Where rooms with fuel-fired equipment are provided, see Section 2.5-3.3.2 (Fuel-Fired Equipment Rooms) for requirements.
Where areas of refuge are provided, see Section 2.5-3.3.3 (Areas of Refuge) for requirements.
Where commercial food preparation areas are provided, see Section 2.5-3.3.4 (Commercial Food Preparation Areas) for requirements.
See Section 2.5-3.4.1 (Thermal and Acoustic Insulation-General) for requirements.
A5.3-6.3.4 Thermal and acoustic insulation
  1. See ASHRAE 90.1: Energy Standard for Buildings Except Low-Rise Residential Buildings for more information.
  2. Provisions for acoustic insulation should meet or exceed local building code requirements.
  3. Consideration should be given to construction of demising walls and floors in a manner that provides for speech privacy between occupied spaces and between floors.
See Section 2.5-3.5 (HVAC Air Distribution) for requirements.
See ANSI/ASHRAE Standard 62.1: Ventilation for Acceptable Indoor Air Quality for requirements.
(1)  For centralized recirculated systems, MERV 7 shall be the minimum filter efficiency for the first filter bank. There is no minimum filter efficiency requirement for the second filter bank.
(2)  For non-central recirculating room systems, HVAC units shall:
(a)  Not receive nonfiltered, nonconditioned outdoor air.
(b)  Serve only a single space.
*(c)  Include the manufacturer's recommended filter for airflow passing over any surface that is designed to condense water. This filter shall be located upstream of any such cold surface so that all of the air passing over the cold surface is filtered.
A5.3-6.3.6.2 (2)(c) Filters for recirculating room systems. Filters should be replaced and/or cleaned per the manufacturer's recommendations to maintain indoor air quality.
See Section 2.5-3.7 (Heating Systems, Cooling Systems, and Equipment) for requirements in addition to those in this section.
Outpatient rehabilitation facilities shall have a permanently installed heating system capable of maintaining an interior minimum temperature of 72° F (22° C) under heating design temperatures.
Outpatient rehabilitation facilities shall be configured and equipped with a cooling system capable of maintaining an interior maximum temperature of 75° F (24° C) under cooling design temperatures.
See Section 2.5-4.1 (Electrical Systems-General) for requirements.
  1. At minimum, outpatient rehabilitation therapy settings that require essential electrical systems shall comply with the appropriate occupancy requirements of NFPA 101: Life Safety Code
  2. As required by local codes and the care types, an essential electrical source shall provide emergency lighting and/or power during an interruption of the normal electrical supply.
Where generators are used in outpatient rehabilitation therapy settings, exhaust systems (including locations, mufflers, and vibration isolators) for internal combustion engines shall be designed and installed to minimize objectionable noise.
See sections 2.5-4.3.1, 2.5-4.3.2, 2.5-4.3.4, and 2.5-4.3.5 in Section 2.5-4.3 (Electrical Receptacles) for requirements.
See Section 2.5-5.1 (Communication Systems-General) for requirements.
Where call systems are provided, the use of alternative technologies, including wireless systems, shall be permitted.
  1. Where wireless systems are used, consideration shall be given to electromagnetic compatibility between internal and external sources.
  2. Wireless systems shall comply with UL Standard 2560: Emergency Call Systems for Assisted Living and Independent Living Facilities.
Where an emergency call system is provided in an outpatient rehabilitation facility, the requirements in this section shall be met.
*(1)  An emergency call device shall be provided at each toilet, bath, shower room, and examination, observation, or treatment room.
(2)  The device shall be accessible to a person lying on the floor. Inclusion of a pull cord or portable wireless device shall satisfy this requirement.
(3)  The signal shall activate a visual and/or audio signal located at an appropriate location and/or a handheld mobile device carried by staff.
(4)  Emergency call systems shall be listed by a nationally recognized testing laboratory.
A5.3-6.5.2.3 (1) Emergency call devices. Based on the care population served, physical therapy, quiet rooms, fitness and exercise areas, pool areas and other therapy areas, and other common areas should be evaluated for incorporation of emergency call system stations. This evaluation should consider the care model, care population, scale of the facility, and staff sight lines for observation.
  1. See Section 2.5-5.3.1.1 (Technology Equipment and Teledata Room-Purpose) for requirements.
  2. Number. Each outpatient rehabilitation therapy setting shall have a room or closet to accommodate technology systems used in the facility.
See Section 2.5-5.3.2 (Size) for requirements.
See Section 2.5-5.3.3 (Location and Access) for requirements.
See Section 2.5-5.3.4 (Technology Equipment Room Facilities) for requirements.
See Section 2.5-6 (Electronic Safety and Security Systems) for requirements.
See Section 2.5-7.1 (Daylighting and Artificial Lighting Systems-General) for requirements.
See Section 2.5-7.2 (Daylighting Systems in Resident Living, Participant, and Outpatient Areas) for requirements.
See Section 2.5-7.3.1 (Light Fixtures) for requirements.
See appendix section A2.5-7.3.2 (Lighting in transition spaces) for recommendations.
  1. Reserved
  2. Outpatient toilet rooms
    1. Toilet rooms shall have general lighting and task lighting.
    2. Task light controls shall be readily accessible to outpatients.
A5.3-6.7.3.2 Lighting for corridors. Corridors used by outpatients should have even light distribution to avoid glare, shadows, and scalloped lighting effects. See appendix section A2.4-2.1.2.2 (1) (Environmental factors and falls) for additional information.
See Section 2.5-8 (Acoustic Design Systems) for requirements.
All buildings having outpatient or staff use areas on more than one floor shall have an electric or hydraulic elevator(s).
Engineered traffic studies are recommended, but in their absence the following guidelines for minimum number of elevators shall apply:
  1. At least one elevator sized to accommodate outpatient-operated mobility device users shall be required where spaces used by outpatients are on any floor other than the main entrance floor.
  2. Where outpatient rehabilitation therapy facilities are part of a general hospital, the hospital's elevators shall be permitted to meet the requirement in Section 5.1-6.9.1.1 (Application).
A5.3-6.9.1.2 These standards may be inadequate for moving large numbers of people in a short time; adjustments should be made as appropriate.
Elevator car doors shall have a clear opening of not less than 3 feet 8 inches (1.12 meters).
See Section 2.5-9.3 (Leveling Device) for requirements.
See Section 2.5-9.4 (Installation and Testing) for requirements.
Elevator cars shall have handrails on all sides without entrance door(s).
See Section 2.4-2.2.10 (Handrails and Lean Rails) for additional requirements.
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