North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 13 - NC MEDICAL CARE COMMISSION
Subchapter K - HOSPICE LICENSING RULES
Section .1100 - HOSPICE RESIDENTIAL CARE
Section 13K .1109 - RESIDENT CARE AREAS
Universal Citation: 10A NC Admin Code 13K .1109
Current through Register Vol. 39, No. 6, September 16, 2024
(a) A facility shall meet the following requirements for resident bedrooms:
(1) private bedroom with not less than 100
square feet of floor area or semi-private bedroom with not less than 80 square
feet of floor area per bed shall be provided;
(2) infants and small children shall not
share a bedroom with an adult resident unless requested by the resident and
families;
(3) each bedroom shall be
furnished with a bed, a mattress protected by waterproof material, a mattress
pad, a pillow, and one chair per resident;
(4) each bedroom shall be provided with one
closet or wardrobe per bed. Each closet or wardrobe shall have clothing storage
space of not less than 48 cubic feet per bed with one-half of this space for
hanging clothes;
(5) each bedroom
shall:
(A) be located at or above grade
level;
(B) have provisions to
ensure visual privacy for treatment or visiting; and
(C) be equipped with a towel rack for each
resident;
(6) each
bedroom shall provide lighting for treatment and non-treatment needs, 50
foot-candles for treatment needs, and 35 foot-candles for non-treatment needs;
and
(7) no resident bedroom shall
be accessed through a bathroom, kitchen, or another bedroom.
(b) A facility shall meet the following requirements for bathrooms:
(1)
bathrooms shall be directly accessible to each resident bedroom without going
through the general corridors. One bathroom may serve up to four residents. The
bathroom doorway shall be a minimum 32-inch clear opening;
(2) each bathroom shall be furnished with the
following:
(A) a toilet with grab
bars;
(B) a sink trimmed with
valves that can be operated without hands. If the sink is equipped with blade
handles, the blade handles shall not be less than four inches in length. If the
sink faucet depends on the building electrical service for operation, the
faucet must have an emergency power source or battery backup capability. If the
faucet has battery operated sensors, the facility shall have a maintenance
policy to keep extra rechargeable or non-rechargeable batteries on premises for
the faucets;
(C) a
mirror;
(D) soap, paper towel
dispensers, and waste paper receptacle with a removable impervious liner;
and
(E) a tub or shower.
(c) Each facility shall provide:
(1) an area for charting;
(2) storage provisions for personal effects
of staff;
(3) storage areas for
supplies and resident care equipment;
(4) storage area(s) for housekeeping
equipment and cleaning supplies;
(5) a medication preparation area with a
counter, a sink trimmed with valves that can be operated without hands, locked
medication storage, and a double locked narcotic storage area under visual
control of staff. If the sink is equipped with blade handles, the blade handles
shall not be less than four inches in length. If the sink faucet depends on the
building electrical service for operation, the faucet must have an emergency
power source or battery backup capability. If the faucet has battery operated
sensors, the facility shall have a maintenance policy to keep extra
rechargeable or non-rechargeable batteries on premises for the
faucets;
(6) a lockable
refrigerator for drug storage only or a separate locked box in a facility
refrigerator. The refrigerator must be capable of maintaining a temperature
range of 36 degrees F (2 degrees C) to 46 degrees F (8 degrees C);
(7) a kitchen with:
(A) a refrigerator;
(B) a cooking appliance ventilated to the
outside;
(C) a 42-inch minimum
double-compartment sink and domestic dishwashing machine capable of sanitizing
dishes with 160 degrees F water; and
(D) storage space for
non-perishables;
(8) a
separate dining area measuring not less than 20 square feet per resident
bed;
(9) a recreational and social
activities area with not less than 150 square feet of floor area exclusive of
corridor traffic;
(10) a nurses'
calling system shall be provided:
(A) in each
resident bedroom for each resident bed. The call system activator shall be such
that they can be activated with a single action and remain on until deactivated
by staff at the point of origin. The call system activator shall be within
reach of a resident lying on the bed. In rooms containing two or more call
system activators, indicating lights shall be provided at each calling
station;
(B) nurses' calling
systems that provide two-way voice communication shall be equipped with an
indicating light at each calling station that lights and remains lighted as
long as the voice circuit is operating;
(C) a nurses' call emergency activator shall
be provided at each residents' use toilet fixture, bath, and shower. The call
system activator shall be accessible to a resident lying on the floor;
and
(D) calls shall register with
the floor staff and shall activate a visible signal in the corridor at the
resident's door. In multi-corridor units, additional visible signals shall be
installed at corridor intersections; and
(11) heating and air conditioning equipment
that can maintain a temperature range between 68 degrees and 80 degrees
Fahrenheit, even upon loss of utility power.
Authority
G.S.
131E-202;
Eff. June 1,
1991;
Amended Eff. February 1, 1995;
Readopted Eff.
October 1, 2021.
Disclaimer: These regulations may not be the most recent version. North Carolina 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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