Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 390 - MEDICALLY COMPLEX FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE
Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING FACILITIES
Section 390.2960 - Nursing Unit
Universal Citation: 77 IL Admin Code ยง 390.2960
Current through Register Vol. 48, No. 12, March 22, 2024
a) General Requirements for Bedrooms
1) Resident bedrooms
shall have an entrance directly off of a corridor with an entrance door that
swings into the room.
2) Provide a
closet or wardrobe of at least four square feet for each resident.
3) No bedroom floor shall be more than three
feet below the adjacent ground level.
4) Each room used as a resident bedroom shall
have at least one outside window with a total window area equal to one-tenth
the floor area of the room.
5)
There shall be separate bedrooms for males and females over six years of age
unless the interdisciplinary team determines that separation is not necessary
due to the functional level of individual residents.
6) A handwashing lavatory shall be provided
in each bedroom.
7) Resident
bedrooms shall have adequate and satisfactory artificial light and be equipped
in accordance with Section
390.3040(c).
8) Receptacles shall be provided in
accordance with Section
390.3040(d).
9) Nurses' call system shall be provided in
accordance with Section
390.3040(e).
(B)
10) Visual privacy shall be provided for
residents in multibed rooms in accordance with Section
390.2220(a)(4).
Location of screen or curtain shall not restrict resident access to entry,
lavatory, or toilet.
11) Resident
toilet rooms shall open directly into a corridor or into a resident's
bedroom.
b) Resident Bedroom.
1) Each single resident bedroom used
for a resident shall have at least 100 square feet of usable net floor area,
not including any space taken up for closets, wardrobes, bathrooms, and clearly
definable entryway areas.
2) Each
multiple bedroom for residents shall have the following floor areas; exclusive
of closets, wardrobes, clearly definable entryways:
A) Not less than 75 square feet per bed. Size
38"-40" x 75"-84".
B) Not less than
65 square feet per small bed. Size: 37" to less than 38" x 61" to less than
75".
C) Not less than 60 square
feet per large crib. Size: 30" to less than 37" x 56" to less than
61".
D) Not less than 45 square
feet per medium crib. Size: 27" to less than 30" x 43" to less than
56".
E) Not less than 40 square
feet per small crib. Size: 19" to less than 27" x 35" to less than
43".
F) Not less than 24 square
feet per bassinet. Size: Smaller than 19" x 35".
3) All sleeping accommodations shall be
adequate in size considering the resident's age, size, mobility, and functional
level.
4) Multiple bedrooms shall
not have more than eight residents.
5) Provide a minimum clearance of three feet
at the foot and one side of all sleeping accommodations. Clearance is not
required when accommodation is not occupied, however, an exit path must always
be maintained in accordance with the requirements of the National Fire
Protection Association's Standard No. 101: Life Safety Code.
6) The minimum dimension of bedroom shall be
nine feet between walls or a wall with any built-in furniture or storage
space.
c) Special Care Room
1) Provide one special care room per
facility complying with bedroom requirements subsections (a) and (b) of this
Section.
2) Additional rooms may be
required depending upon the bed capacity of the facility.
3) Provide a minimum of one workroom adjacent
to or between each special care room containing lavatories, water closets or
clinical rim flush sinks and all the equipment necessary to maintain a safe
standard of special care.
4) This
room shall be located to provide proper and efficient supervision of the
resident by the nursing staff.
5)
When more than one resident is housed in this room, it may only be used to
isolate residents with the same communicable disease.
6) This room shall be included in the
authorized maximum bed capacity for the facility.
7) It is permissible for the room to be
occupied by a resident not in need of special care, provided the resident is
clearly informed and understands they will be immediately transferred out of
the room any time of day or night, whenever the room is needed to care for a
resident requiring special care.
d) Nurses' Station
1) Provide a minimum of one nurses' station
for each nursing unit. The station shall have direct access to a corridor,
shall be located near the area it will serve, and shall be designed to provide
visual control of the area. It shall be separated satisfactorily from the
nurses' utility rooms. (B)
2) Each
nurses' station shall have a medicine sink with hot and cold running water, a
work counter, a medicine cabinet, and necessary equipment and
furnishings.
3) Provide a nurses'
toilet with handwashing sink convenient to the nurses' station.
e) Bathing and Toilet Rooms
1) The minimum number of fixtures per
resident use floor shall be one lavatory, one water closet, and one bathing
fixture.
2) Additional fixtures
shall be provided on each floor based on the maximum capacity of beds, cribs or
bassinets (even though some may not be occupied), as follows:
A) Lavatories: One per eight
B) Clinical rim flush sink or water closet
for residents capable of using them: One per eight.
C) Bathing or shower fixtures: One per
twelve.
3) Provide on
each floor at least one bathing facility or enclosure of not less than eight
feet six inches by eight feet six inches with an acceptable system for bathing
residents with physical disabilities.
4) If a shower is installed instead of a
bathtub, such shower shall have a minimum dimension of four feet wide by three
feet six inches deep. These showers shall have a water inlet to which is
connected a flexible hose with spray or shower head attached to the end of the
hose. If desired, a conventional shower head installation may also be provided
but it must be valved off from the lower water inlet.
5) Other acceptable fixtures for bathing the
residents may be provided with Department approval.
6) All plumbing fixtures shall be designed
and installed to satisfactorily serve the residents using them.
7) There shall be separate toilet and bathing
areas on each floor for males and females over six years of age unless the
interdisciplinary team determines that separation is not necessary due to the
functional level of individual residents.
8) If toilet rooms provided adjacent to
bedrooms are not large enough to permit use by wheelchairs, at least one toilet
room or enclosure measuring five feet by six feet shall be provided on each
floor housing residents. Provide a lavatory usable from a wheelchair in this
room.
9) All bath and toilet rooms
shall be easily accessible and conveniently located. Group bath and toilet
facilities shall be partitioned or curtained for privacy.
f) Utility Rooms
1) Every facility shall have clean and soiled
utility functions in separate rooms on each floor having resident beds, cribs
or bassinets.
2) Clean Utility Room
A) The clean utility room shall be large
enough to contain:
i) a work counter or
table;
ii) a sink with
drainboard;
iii) ample storage
cabinets for clean and sterile supplies and equipment; and
iv) an autoclave, if required, for
sterilizing needles, syringes, catheters, dressings, and similar
items.
B) The autoclave
may be located in the nurses' station area. The autoclave may be waived in lieu
of other methods of sterilization approved by the Department.
3) The soiled utility room shall
be large enough to contain:
A) a two
compartment sink with drainboards;
B) ample storage cabinets;
C) a clinical rim flush sink for: rinsing bed
pans, urinals, and linen soiled by solid materials, and similar type
procedures; and
D) equipment for
sanitizing bed pans, emesis basins, urine bottles, and other utensils, which
meets accepted methods and procedures for such sanitation.
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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