ARM 37.106.3324. PHYSICAL PLANT REQUIREMENTS FOR AN INPATIENT CENTER

(1) An inpatient experimental treatment center must have the local building authority inspect and approve the center prior to initial licensing. The department must receive a copy of the signed approval. (2) The local or state fire marshal must inspect the center prior to licensing and annually thereafter. (3) Each center must be fully suppressed. The suppression system must be tested and inspected annually. (a) Inspection results must be maintained at the center for three years. (4) All patient rooms must have three feet of clearance to the foot and each side of the bed. (5) All corridors within the center must be at a minimum of eight feet wide. (6) There must be illuminated exit signs on all exit doors. (7) There must be at least one toilet for every four patients. (8) There must be at least one shower for every 12 patients. (9) Each patient room must be equipped with a call system that meets the standard in the American Institute of Architects (AIA) Guidelines chapter 4.1-8.3.7.4 (2). (10) There must be a nurses' station for each wing of the center. The nurses' station should provide a clear line of sight to each patient room and the room’s light for the call system. (11) Every patient room must have generator-backup electrical for provisions of oxygen and medical gas to be rolled in and utilized whenever necessary. (12) If an inpatient experimental treatment center operates within another health care facility, the center must: (a) be operated in a distinct and separate unit of the facility; (b) have two-hour fire barriers separating the experimental treatment center from the other health care facility; (c) store all experimental treatment medications, treatments, or devices in such a manner that they are inaccessible to any staff other than those who work for the experimental treatment center; (d) separately store and maintain all equipment pertinent to the care and treatment of patients within the experimental treatment center; and (e) maintain a separate staff from that of the other health care facility. (13) The department may waive any provision of this rule if construction factors would make compliance extremely difficult or impossible and if the department determines that the level of safety to patients and staff is not diminished. (14) A licensed inpatient experimental treatment center may apply to the department to transfer its primary location, provided that: (a) there is no change in legal ownership, administrative structure, or core staff as relevant for compliance; (b) the department receives 30 days’ prior notice, updated address, floor plans, and an attestation of ongoing compliance; (c) the new site is approved by the department's licensing construction consultant prior to treating patients; (d) a copy of the continuity of care plan covering patient notification, handling of ongoing treatments, and medical record access or transfer shall be provided to the department with the relocation notice and must be available for review.