Wis. Admin. Code Department of Health Services DHS 132.84 - Design
(1) RESIDENTS' ROOMS.
(a)
Assignment of residents.
Sexes shall be separated by means of separate wings, floors, or rooms, except
in accordance with s.
50.09(1)
(f) 1, Stats.
(b)
Location. No bedroom
housing a resident shall open directly to a kitchen or laundry.
(g)
Bed arrangement. The
beds shall be arranged so that the beds shall be at least 3 feet apart and a
clear aisle space of at least 3 feet from the entrance to the room to each bed
shall be provided.
(h)
Closet space. A closet or locker shall be provided for each
resident in each bedroom. Closets or lockers shall afford a space of not less
than 15 inches wide by 18 inches deep by 5 feet in height for each resident
bed.
(i)
Cubicle
curtains.
1. In period A and B
facilities, each bed in a multiple-bed room shall have a flameproof cubicle
curtain or an equivalent divider that will assure resident privacy.
2. In period C facilities, each bed in a
multiple-bed room shall be provided with a flameproof cubicle curtain to
enclose each bed and to assure privacy.
(2) TOILET AND BATHING FACILITIES.
(a)
General. All lavatories
required by this subsection shall have hot and cold running water. Toilets
shall be water flushed and equipped with open front seats without lids.
(e)
Period A and
B. In period A and B facilities separate toilet and bath facilities
shall be provided for male and female residents.
(f)
Period C. In period C
facilities every tub, shower, or toilet shall be separated in such a manner
that it can be used independently and afford privacy.
(3) STAFF WORK STATIONS AND OTHER REQUIRED
FACILITIES. Each resident living area shall have all of the following:
(a) A staff work station whose location
allows staff to provide services to all living areas, resident bedrooms and
resident use spaces. The facility shall contain adequate storage space for
records and charts and shall contain a desk or work counter for staff, a
functional telephone for emergency calls and a resident communication system as
required under sub. (4). Staff work stations shall be located to meet the needs
of the resident population being served.
(b) Space for storage of linen, equipment and
supplies, unless a central space for storage is provided.
(c)
1.
Except as provided in subds. 2. and 3., a well-lit, secure medicine
preparation, storage and handling room or area available to each staff work
station with a work counter, refrigerator, sink with hot and cold running
water, and a medicine storage cabinet with lock or space for drug carts. The
room shall be mechanically ventilated.
2. In period A nursing homes, a well-lit
medicine preparation, storage and handling area equipped with a sink and hot
and cold running water may continue to be used. Mechanical ventilation is not
required.
3. In period B nursing
homes, cart storage space and mechanical ventilation within the medicine
preparation room are not required.
(d)
1.
Except as provided in subds. 2., 3. and 4., a soiled utility room central to
each resident sleeping room wing or module that is equipped with a flush-rim
siphon jet service sink, a facility for sanitizing bedpans, urinals, emesis
basins, thermometers and related nursing care equipment, appropriate cabinet
and counter space, and sink with hot and cold running water. The room shall be
mechanically ventilated and under negative pressure.
2. Period A nursing homes shall have a
utility room that shall be located, designed and equipped to provide areas for
the separate handling of clean and soiled linen, equipment, and
supplies.
3. Period B nursing homes
shall have a ventilated utility room with a flush-rim service sink.
4. Central location of soiled utility rooms
is not required in existing nursing homes.
(e)
1.
Except as provided in subd. 2., a clean utility area or room central to each
resident sleeping room wing or module that is equipped with a sink with hot and
cold running water, counter, and cabinets for storage of clean utensils and
equipment.
2. Period A and B
nursing homes shall have a utility room located, designed and equipped to
provide areas for the separate handling of clean and soiled linen, equipment
and supplies.
(f) Period
C nursing homes shall have staff toilet and hand-washing facilities separate
from those used by residents.
(g)
Period C nursing homes shall have a nourishment station with sink, hot and cold
running water, refrigerator and storage for serving between-meal nourishment if
a kitchen is not open at all times. Nourishment stations may serve more than
one nursing area but not more than a single floor.
(4) RESIDENT AND STAFF COMMUNICATION.
(a) Except as provided in pars. (b) and (c),
the nursing home shall have a department-approved resident and staff
communication system comprised of components listed by an independent testing
laboratory to permit each resident to activate the call from resident rooms,
toilet area, bathing areas, and activity areas. Nurse calls shall be visible
from corridor or access aisles within each resident living area and an audible
sounder shall annunciate upon failure of staff response. The communication
signal emanating from the toilet, bath and shower areas shall be that of a
distinctive emergency call. The activation device shall be reachable by the
residents from each toilet, bath or shower location.
Note: Underwriter's Laboratory (UL) is an example of an independent testing laboratory.
(b) Nursing homes in existence November 1,
2004, may continue using a nurse call system that registers calls from each
resident bed, resident toilet room and each tub and shower area. In addition,
in period B and C nursing homes, the resident staff signal may register in the
corridor directly outside the room and at the staff work station.
(c) In all nursing homes in existence
November 1, 2004, the nursing home may retain use of non-source signal
canceling equipment until any remodeling is undertaken within the smoke
compartment where the equipment is located.
(d) Communication systems shall be
functioning at all times.
(6) FOOD SERVICE.
(a)
General. The facility
shall have a kitchen or dietary area which shall be adequate to meet food
service needs and shall be arranged and equipped for the refrigeration,
storage, preparation, and serving of food, as well as for dish and utensil
cleaning and refuse storage and removal. Dietary areas shall comply with the
local health or food handling codes. Food preparation space shall be arranged
for the separation of functions and shall be located to permit efficient
services to residents and shall not be used for nondietary functions.
Note: The department encourages and supports gerontological design principles that promote innovation and a diversity of approaches.
(15) MIXED OCCUPANCY.
Rooms or areas within the facility may be used for occupancy by individuals
other than residents and facility staff if the following conditions are met:
(a) The use of these rooms does not interfere
with the services provided to the residents; and
(b) The administrator takes reasonable steps
to ensure that the health, safety and rights of the residents are protected.
(17) SUBMISSION OF PLANS
AND SPECIFICATIONS. For all new construction:
(a) One copy of schematic and preliminary
plans shall be submitted to the department for review and approval of the
functional layout.
(b) One copy of
working plans and specifications shall be submitted to and approved by the
department before construction is begun. The department shall notify the
facility in writing of any divergence in the plans and specifications, as
submitted, from the prevailing rules.
(c) The plans specified in pars. (a) and (b)
shall show the general arrangement of the buildings, including a room schedule
and fixed equipment for each room and a listing of room numbers, together with
other pertinent information. Plans submitted shall be drawn to scale.
(d) Any changes in the approved
working plans affecting the application of the requirements herein established
shall be shown on the approved working plans and shall be submitted to the
department for approval before construction is undertaken. The department shall
notify the facility in writing of any divergence in the plans and
specifications, as submitted, from the prevailing rules.
(e) If on-site construction above the
foundation is not started within 6 months of the date of approval of the
working plans and specifications under par. (b), the approval shall be void and
the plans and specifications shall be resubmitted for reconsideration of
approval.
(f) If there are no
divergences from the prevailing rules, the department shall provide the
facility with written approval of the plans as
submitted.
Notes
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