Resident Bathrooms and Washrooms

(A) Bathing Facilities. Bathing facilities shall be provided in a ratio of not less than one per 15 residents. One of the bathing facilities in the long-term care facility shall be a freestanding tub. The freestanding tub shall be accessible from two sides and one end with a minimum three-foot clearance. The tub shall be equipped with an acceptable type bath lift, except smaller dimensions may be approved for an HB/LTCF, so long as such facilities can accommodate residents using wheelchairs. (B) Shower Construction. Shower floors shall be flush and shall be without curbs. The floor shall be sloped to the center of the shower stall. Mixing valves and controls shall be mounted outside the shower stall. Shower enclosure shall be not less than four feet by four feet or five feet wide by thirty inches deep. A private dressing area adjoining each common shower enclosure shall be provided. All common toilet or bathing facilities shall be separated by solid wall partitions or dividers. (C) Toilets and Handwashing Facilities. (1) All resident bedrooms shall be provided with at least one water closet and one lavatory. Each water closet and lavatory may be positioned between adjacent rooms. They must be directly accessible from each room. (2) One water closet and one lavatory shall be provided for residents of each sex on each unit and shall be located in areas convenient to day rooms and any unit dining rooms. Such areas must be sized to accommodate residents’ wheelchairs. (3) All common toilet facilities shall be separated by solid wall partitions or dividers. In HB/LTCFs, if each resident room does not have direct access to toilet and handwashing facilities, such facilities shall be provided and located conveniently to the resident rooms at ratios of one toilet fixture to every four residents. (5) In addition to the requirements of 105 CMR 150.370(C), facilities shall have sufficient equipment to meet the toileting needs of their residents. (D) Grab Bars Required for Tubs, Showers, and Toilets. All tubs, showers and toilet enclosures shall be equipped with grab bars. Grab bars, accessories and anchorage shall meet the structural and strength requirements in 521 CMR: Architectural Access Board. (E) Hot Water Supply: Maximum Temperature. Hot water supplied to fixtures accessible to residents shall be controlled to maintain a temperature between 110° and 120°F.