Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 661 - Hospice
Subchapter 8 - Hospice Inpatient Facility Physical Plant
Section 310:661-8-10 - Details and Finishes

(1) All rooms containing bathtubs, sitz baths, showers, and water closets, subject to occupancy by patients, shall be equipped with doors and hardware which will permit access from the outside in any emergency. When such rooms have only one (1) opening or are small, the door shall be capable of opening outwards or be otherwise designed to be opened without need to push against a patient who may have collapsed within the room.

(2) The minimum width of all doors to rooms needing access for beds or stretchers shall be three feet eight inches (3' 8"). Doors to patient toilet rooms and other rooms needing access for wheelchairs shall have a minimum clear width of 32 inches.

(3) Windows and outer doors shall not be left in an open position unless provided with insect screens.

(4) Windows and/or screening devices shall be designed to prevent accidental falls when open.

(5) Door(s) shall not swing into corridors in a manner that might obstruct traffic flow or reduce the required corridor width. All door handles shall be approved lever type.

(6) Grab bars shall be provided at all patients' toilets, showers, tubs, and sitz baths.

(7) Recessed soap dishes shall be provided in showers and bathrooms, or soap dispensers may be substituted.

(8) Lavatories and hand washing facilities shall be securely anchored to withstand an applied vertical load of not less than two hundred fifty (250) pounds on the front of the fixture.

(9) Mirrors shall be arranged for convenient use by patients in wheelchairs as well as by patients in a standing position. All lavatories shall have mirrors except those in kitchens.

(10) Paper towel and soap dispensers and waste receptacles shall be provided at all hand washing facilities in public, staff locations and patient areas.

(11) Ceiling heights shall be as follows:

(12) Spaces where impact noises may be generated shall not be located directly over or adjacent to patient bed areas unless special provisions are made to minimize such noise to a Noise Isolation Class (NIC) of not less than forty-five (45).

(13) Rooms containing heat producing equipment (such as boiler or heater rooms, and laundries) shall be insulated and ventilated to prevent any floor surface above from exceeding a temperature of 10oF. (60C.) above the ambient room temperature.

(14) Indicators shall be placed on all doors leading to hazardous areas, such as knurled knobs or signs.

(15) The hospice shall eliminate fire and smoke hazards. The hospice shall not use pillows, mattresses, pads, padded furniture, carpeting, or other furnishings, which contain urethane foams, which are not fire retardant.

(1) Floor materials shall be easily cleanable and have wear resistance appropriate for the location involved. Floors in areas used for food preparation or food assembly shall be water resistant and grease proof. Points in tile and similar material in such areas shall be resistant to food acids. In all areas frequently subject to wet cleaning methods, floor materials shall not be physically affected by germicidal and cleaning solutions. Floors that are subject to traffic while wet (such as shower and bath areas, kitchens, and similar work areas) shall have a no slip surface.

(2) Wall bases in kitchens, soiled workrooms, and other areas which are frequently subject to wet cleaning methods shall be made integral and covered with the floor, tightly sealed with the wall, and constructed without voids that can harbor insects.

(3) Wall finishes shall be washable and, in the immediate area of plumbing fixtures, shall be smooth and moisture resistant. Finish, trim, and wall and floor constructions in dietary and food preparation areas shall be free from spaces that can harbor rodents and insects.

(4) Floor and wall penetrations by pipes, ducts, and conduits shall be tightly sealed to minimize entry of rodents and insects. Joints of structural elements shall be similarly sealed.

(5) Ceilings throughout shall be easily cleanable. Ceilings in the dietary and food preparation areas shall have a finished washable ceiling covering all overhead piping and ductwork; a smooth surface drywall or plaster type ceiling shall be required. Finished ceilings may be omitted in mechanical and equipment spaces, shops, general storage areas, and similar spaces, unless required for fire-resistive purposes.

(6) All buildings that have patients' facilities (such as bedrooms, dining rooms, or recreation areas) or critical services (such as diagnostic or therapy) located on other than the main entrance floor shall have electric or electro hydraulic elevators.