R9-10-618. Physical Plant Standards for a Hospice Inpatient Facility

A. An administrator shall ensure that a hospice inpatient facility complies with applicable physical plant health and safety codes and standards, incorporated by reference in R9-10- 104.01. B. An administrator of a hospice inpatient facility shall ensure that the premises and equipment are sufficient to accommodate: 1. The services stated in the hospice inpatient facility’s scope of services, and 2. An individual accepted as a patient by the hospice inpatient facility. C. An administrator of a hospice inpatient facility shall ensure that a patient’s sleeping area: 1. Is shared by no more than four patients; 2. Measures at least 80 square feet of floor space per patient, not including a closet; 3. Has walls from floor to ceiling; 4. Contains a door that opens into a hallway, common area, or outdoors; 5. Is at or above ground level; 6. Is vented to the outside of the hospice inpatient facility; 7. Has a working thermometer for measuring the temperature in the sleeping area; 8. For each patient, has a: a. Bed, b. Bedside table, c. Bedside chair, d. Reading light, e. Privacy screen or curtain, and f. Closet or drawer space; 9. Is equipped with a bell, intercom, or other mechanical means for a patient to alert a personnel member; 10. Is no farther than 20 feet from a room containing a toilet and a sink; 11. Is not used as a passageway to another sleeping area, a toilet room, or a bathing room; 12. Contains one of the following to provide sunlight: a. A window to the outside of the hospice inpatient facility, or b. A transparent or translucent door to the outside of the hospice inpatient facility; and 13. Has coverings for windows and for transparent or translucent doors that provide patient privacy. D. An administrator of a hospice inpatient facility shall ensure that there is: 1. For every six patients, a toilet room that contains: a. At least one working toilet that flushes and has a seat; b. At least one working sink with running water; c. Soap for hand washing; d. Paper towels or a mechanical air hand dryer; e. Grab bars attached to a wall that an individual may hold onto to assist the individual in becoming or remaining erect; f. A mirror; g. Lighting; h. Space for a personnel member to assist a patient; i. A bell, intercom, or other mechanical means for a patient to alert a personnel member; and j. An operable window to the outside of the hospice inpatient facility or other means of ventilation; 2. For every 12 patients, at least one working bathtub or shower accessible to a wheeled shower chair, with a slip- resistant surface, located in a toilet room or in a separate bathing room; 3. For a patient occupying a sleeping area with one or more other patients, a separate room in which the patient can meet privately with family members; 4. Space in a lockable closet, drawer, or cabinet for a patient to store the patient’s private or valuable items; 5. A room other than a sleeping area that can be used for social activities; 6. Sleeping accommodations for family members; 7. A designated toilet room, other than a patient toilet room, for personnel and visitors that: a. Provides privacy; and b. Contains: i. A working sink with running water, ii. A working toilet that flushes and has a seat, iii. Toilet tissue, iv. Soap for hand washing, v. Paper towels or a mechanical air hand dryer, vi. Lighting, and vii. A window that opens or another means of ventilation; 8. If the hospice inpatient facility has a kitchen with a stove or oven, a mechanism to vent the stove or oven to the outside of the hospice inpatient facility; and 9. Space designated for administrative responsibilities that is separate from sleeping areas, toilet rooms, bathing rooms, and drug storage areas.