Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 175 - HEALTH CARE FACILITIES AND SERVICES LICENSURE
Chapter 16 - HOSPICE SERVICES
Section 175-16-007 - PHYSICAL PLANT
Current through September 17, 2024
Physical plant requirements in 175 NAC 1 and 175 NAC 16 do not apply to hospice services provided in the consumer's home. An inpatient hospice facility must meet all physical plant requirements shown at 175 NAC 1 and the additional requirements shown below. All buildings must be designed, constructed, and maintained in a manner that is safe, clean and functional for the care, treatment and services provided.
007.01 DIETARY. If food preparation is provided on site, there must be dedicate space and equipment for the preparation and serving of meals. Such food preparation, serving, physical environment, and equipment must comply with the Food Code
007.02 DINIING AREAS. Dining areas must have an outside wall with windows for natural light and ventilation and meet the following requirements:
007.03 LAUNDRY. Laundry services must be provided. These service may be provided by contract or on-site by the licensee.
007.04 LINENS. There must be an adequate supply of bed, bath, and other linens as necessary for each consumer. The linen must be clean and in good repair.
007.05 WASTE PROCESSING. There must be areas to collect, contain, process, and dispose of medical and general waste produced in a manner that prevents the attraction of vermin, and to minimize the transmission of infectious diseases.
007.06 COSMETOLOGY AND BARBER. If cosmetology and barber services, as defined in the Cosmetology, Electrology, Esthetics, Nail Technology; and Body Art Practice, Neb. Rev. Stat. §§ 38-1001 to 38-10,171 and the Practice of Barbering, Neb. Rev. Stat. §§ 71-201 to 71-248 must be provided such services must be provided in conformance with those statutes.
007.07 PHARMACY. If pharmacy or pharmaceutical services are provided they must be provided in conformance with the statutes and regulations governing such practice.
007.08 HOUSEKEEPING ROOM. There must be a room with a service sink and space for storage of supplies and housekeeping equipment.
007.09 CARE AND TREATMENT AREAS. The following care and treatment areas cannot be shared among detached structures or with other licensed health care facilities or services. Care and treatment areas must comply with the following standards.
007.10 BATHING ROOMS. There must be a bathing room consisting of a tub or shower adjacent to each bedroom or provide a central bathing room on each floor. Tubs and showers regardless of location must be equipped with hand grips or other assistive devices as needed or desired by the consumer. In new construction a central bathing room must open off the corridor and contain a toilet and sink or have an adjoining toilet room. There must be at least 1 bathing fixture for each 8 licensed beds in new facilities and new construction.
007.11 TOILET ROOMS. Existing or new facilities must have a toilet and sink adjoining each bedroom or shared toilet facilities with a minimum number of 1 toilet and sink fixture per 2 licensed beds. New construction must have a toilet and sink fixture provided adjoining each consumer bedroom or in each apartment or dwelling.
007.12 SLEEPING ROOMS. There must be bedrooms which allow for sleeping, afford privacy, provide access to furniture and belongings, and accommodate the care and treatment provided to the consumer.
007.13 ISOLATION ROOMS. The licensee must have the capability to provide isolation rooms based on infection control risk assessment of the consumers. There must be provisions for isolating consumers with infectious diseases. In new construction, the inpatient hospice facility must equip isolation rooms with hand washing and gown changing facilities at the entrance of the room.
007.14 CORRIDORS. Corridors must be wide enough to allow passage and be equipped with safety and assistive devices to minimize injury and to meet the needs of the consumer. All stairways and ramps must have handrails.
007.15 DOORS. Doors must be wide enough to allow passage and be equipped for privacy, safety, and with assistive devices to minimize consumer injury. All bedroom, toilet, and bathing room doors must provide privacy yet not create seclusion or prohibit staff access for routine or emergency care. In new construction, all consumer-used toilet and bathing rooms with less than 50 square feet of clear floor area must not have doors that swing inward.
007.16 OUTDOOR AREAS. An outdoor area for consumer usage must be provided. It must be equipped and situated to protect consumers and to promote the abilities of consumers.
007.17 HAND WASHING SINKS. A hand washing facility equipped with sink, disposable towels, and soap dispenser must be in all examination, treatment, isolation, and procedure rooms.
007.18 PRIVACY. Visual privacy and window curtains must be provided for each consumer. In new facilities the curtain layout must totally surround each care and treatment location which will not restrict access to the entrance to the room, lavatory, toilet, or enclosed storage facilities.
007.19 FINISHES. Room finishes must meet the following:
007.20 ADDITIONAL SERVICES. If additional medical or therapy services are provided there must be adequate space provided to assure privacy and provision of appropriate care, treatment and services.
007.21 BUILDING SYSTEMS. Building systems must be designed, installed and operated in a manner to provide for the safety, comfort, and well-being of the consumer and must include at a minimum, the following:
007.22 HOT WATER SYSTEM. There must be hot and cold water to all hand washing and bathing locations.
007.23 HEATING AND COOLING SYSTEMS. Airflow must move from clean to soiled locations. Floors in operating, procedure and other locations subject to wet cleaning methods or body fluids must not have opening to the heating and cooling system.
007.24 ILLUMINATION LEVELS. All facilities must provide minimum illumination levels which are measured at 30 inches above the floor in multiple areas in the room as follows:
(A) Toilet Rooms |
30 foot candles; |
(B) Corridors |
10 foot candles; |
(C) Laundry |
30 foot candles; |
(D) Medication station |
75 foot candles; |
(E) Care and treatment locations |
70 foot candles; |
(F) Procedure task lighting |
200 foot candles; and |
(G) Surgery |
1000 foot candles. |
007.25 MEDICAL GAS SYSTEMS. The facility must safely provide medical gas and vacuum by means of portable equipment or building systems as required by the type of care and treatment provided at the clinic. All medical gas systems must comply with the requirements of 153 NAC 1.
007.26 VENTILATION SYSTEM. All facilities must provide exhaust and clean air to prevent the concentrations of contaminants which impair health or cause discomfort to consumers and employees.
007.27 WATER AND SEWER SYSTEMS. There must be an accessible and safe potable supply of water. Where a public water supply system is available, the facility must be connected to it and must use it exclusively. All water distribution systems must be protected with anti-siphon devices and air-gaps to prevent contamination. All facilities must maintain a sanitary and functioning sewage system and the following: