Resident Bathrooms and Washrooms - Resident Care Units

(A) Bathing Facilities. Level IV bathing facilities shall be provided in a ratio of not less than one per 15 residents. A free-standing tub is not required within a Level IV Resident unit. (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 30 inches deep. A private dressing area adjoining each common shower enclosure shall be provided. (C) Toilet 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 shall be directly accessible from each room. (2) One water closet and one lavatory shall be provided for residents of each sex in each unit and shall be located in areas convenient to day rooms and any unit dining rooms. Such areas shall be sized to accommodate residents’ wheelchairs. (3) All common toilet facilities shall be separated by solid wall partitions or dividers. (4) In addition to the requirements of 105 CMR 150.470(C), facilities shall have sufficient equipment to meet the toileting needs of their residents. (D) Grab Bar Required for Tubs, Showers, and Toilets. All tub, shower 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. Hot water supplied to fixtures accessible to residents shall be controlled to maintain a temperature between 110° through 120°F.