Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.106 - HEALTH CARE FACILITIES
Subchapter 37.106.28 - Assisted Living Facilities
Rule 37.106.2899H - CATEGORY D: SECLUSION ROOM REQUIREMENTS
Universal Citation: MT Admin Rules 37.106.2899H
Current through Register Vol. 18, September 20, 2024
(1) A category D facility or unit must have at least one room designated to be used for seclusion for every 24 beds.
(2) The location of these rooms must facilitate staff observation and monitoring of residents in these rooms.
(3) Seclusion rooms may only be used by one resident at a time.
(4) Seclusion rooms must:
(a) be a minimum of 60 square feet, and a
minimum of 80 square feet if restraint beds are used;
(b) be a minimum length of 7 feet and maximum
wall length of 11 feet;
(c) be a
minimum height of 9 feet;
(d) be
accessed by an anteroom or vestibule that provides direct access to a toilet
room;
(e) have door openings to the
anteroom and toilet room with a minimum clear width of 3 feet 8
inches;
(f) be constructed to
prevent hiding, escape, injury, or suicide;
(g) have walls designed to withstand direct
and forceful impact and have materials that meet Class A or Class B finishes as
defined by the 2012 National Fire Protection Association (NFPA) 101;
(h) have monolithic ceilings;
(i) not contain outside corners or
edges;
(j) have doors that swing
out, have a clear opening of 3 feet 8 inches, and permit staff observation
through a vision panel, while maintaining provisions for privacy;
(k) have tamper resistant fixtures, such as
light fixtures, vent covers, and cameras;
(l) have electrical switches and outlets that
are restricted within the seclusion room; and
(m) have door lever handles that point
downward when in the latched or unlatched position, except for specifically
designed anti-ligature hardware.
(5) A licensed nurse must provide residents with constant one-on-one supervision when in the seclusion room.
AUTH: 50-5-103, 50-5-226, 50-5-227, MCA; IMP: 50-5-225, 50-5-226, 50-5-227, MCA
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