R9-10-525. Physical Plant Standards

A. An administrator shall ensure that, if an ICF/IID has: 1. More than 16 residents, the ICF/IID complies with: a. The applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, that were in effect on the earlier of: i. The date the ICF/IID was originally certified as an ICF/IID by the federal Centers for Medicare and Medicaid Services, or ii. The date the ICF/IID submitted the application packet including the notarized attestation of architectural plans according to R9-10-104; and b. The requirements for Existing Health Care Occupancies in National Fire Protection Association 101, Life Safety Code, incorporated by reference in R9- 10-104.01; and 2. Sixteen or fewer residents, the ICF/IID complies with the requirements for Existing Health Care Occupancies in National Fire Protection Association 101, Life Safety Code, incorporated by reference in R9-10-104.01. B. An administrator shall ensure that: 1. The premises and equipment are sufficient to accommodate: a. The services stated in the ICF/IID’s scope of services, and b. An individual accepted as a resident by the ICF/IID; 2. A common area for use by residents is provided that has sufficient space and furniture to accommodate the recreational and socialization needs of residents; 3. A dining area has sufficient space and tables and chairs to accommodate the needs of the residents; 4. At least one bathroom is accessible from a common area and: a. May be used by residents and visitors; b. Does not open into an area in which food is prepared; c. Provides privacy when in use; and d. Contains the following: i. At least one working sink with running water, ii. At least one working toilet that flushes and has a seat, iii. Toilet tissue for each toilet, iv. Soap in a dispenser accessible from each sink, v. Paper towels in a dispenser or a mechanical air hand dryer, vi. Lighting, and vii. A window that opens or another means of ventilation; 5. An outside activity space is provided and available that: a. Is on the premises, b. Has a hard-surfaced section for wheelchairs, and c. Has an available shaded area; 6. Exterior doors are equipped with ramps or other devices to allow use by a resident using a wheelchair or other assistive device; and 7. The key to the door of a lockable bathroom or bedroom is available to a personnel member. C. An administrator shall ensure that: 1. For every eight residents there is at least one working toilet that flushes and has a seat and one sink with running water; 2. For every eight residents there is at least one working bathtub or shower; 3. A resident bathroom provides privacy when in use and contains: a. A mirror; b. Toilet tissue for each toilet; c. Soap accessible from each sink; d. Paper towels in a dispenser or a mechanical air hand dryer for a bathroom that is used by more than one resident; e. A window that opens or another means of ventilation; f. Grab bars for the toilet and, if applicable, the bathtub or shower and other assistive devices, if required to provide for resident safety; and g. Nonporous surfaces for shower enclosures and slip- resistant surfaces in tubs and showers; 4. An ICF/IID is ventilated by windows or mechanical ventilation, or a combination of both; 5. If required for the residents of the ICF/IID, the corridors are equipped with handrails on each side that are firmly attached to the walls and are not in need of repair; 6. No more than two individuals reside in a resident bedroom; and 7. A resident’s bedroom; a. Is accessible without passing through a storage area, an equipment room, or another resident’s bedroom; b. Is constructed and furnished to provide unimpeded access to the door; c. Has floor-to-ceiling walls with at least one door; d. Does not open into any area where food is prepared, served, or stored; e. If a private bedroom, has at least 80 square feet of floor space, not including a closet or bathroom; f. If a shared bedroom, has at least 60 square feet of floor space for each individual occupying the shared bedroom, not including a closet or bathroom; g. Has a separate bed, at least 36 inches in width and 72 inches in length, for each resident, consisting of at least a frame and mattress that is clean and in good repair; h. Has clean linen, including a mattress pad, sheets large enough to tuck under the mattress, pillows, pillow cases, a bedspread, waterproof mattress covers as needed, and blankets to ensure warmth and comfort for the resident; i. Has furniture to meet the resident’s needs and sufficient light for reading; j. Has an openable window to the outside with window coverings for controlling light and visual privacy, and the location of the window permits a resident to see outside from a sitting position; k. Has individual storage space for a resident’s possessions and assistive devices; and l. Has a closet with clothing racks and shelves accessible to the resident. D. If a swimming pool is located on the premises, an administrator shall ensure that: 1. The swimming pool is enclosed by a wall or fence that: a. Is at least five feet in height as measured on the exterior of the wall or fence; b. Has no vertical openings greater than four inches across; c. Has no horizontal openings, except as described in subsection (D)(1)(e); d. Is not chain-link; e. Does not have a space between the ground and the bottom fence rail that exceeds four inches in height; and f. Has a self-closing, self-latching gate that: i. Opens away from the swimming pool, ii. Has a latch located at least 54 inches from the ground, and iii. Is locked when the swimming pool is not in use; and 2. A life preserver or shepherd’s crook is available and accessible in the pool area. E. An administrator shall ensure that a spa that is not enclosed by a wall or fence as described in subsection (D)(1) is covered and locked when not in use.