reglab/statecodes huggingface dataset:
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.027 - Activities in Dementia Special Care Units

Current through Register 1525, July 5, 2024
(A) A
			 DSCU shall provide a minimum of eight hours of documented therapeutic
			 activities programming per day, of which at least six hours shall be scheduled
			 activities, seven days per week.
(B) Therapeutic activities shall be planned
			 throughout the day and evening and incorporate the possible need for
			 therapeutic programming during night hours based upon the needs of individual
			 residents.
(C) Therapeutic
			 activities shall be individualized and designed to improve or maintain
			 residents' self-awareness and level of functioning and shall be reasonably
			 suited to the needs and interests of residents. Therapeutic activities shall be
			 provided on an individual and group basis.
(D) DSCU personnel shall seek ways to engage
			 residents in therapeutic activities.
(E) The DSCU shall provide, maintain, and
			 store basic supplies and equipment for therapeutic activities.
(F) A DSCU shall provide sufficient space for
			 therapeutic activities contained within the DSCU. The space shall conform to
			 the physical plant requirements listed in
			 105 CMR
			 150.029.
(G) Therapeutic activities shall be:
(1) Structured and planned to promote or help
			 sustain the physical and emotional well-being of each resident and maximize
			 functional independence;
(2) Based
			 on an assessment of each resident's past and current interests and gross motor,
			 self-care, social, sensory, cognitive, and memory skills;
(3) Meaningful, purposeful and cognitively
			 stimulating;
(4) Designed to
			 enhance or maintain memory, to the extent practical;
(5) Designed to provide opportunities for
			 physical, social and emotional outlets and self-expression; and
(6) Implemented in accordance with current
			 standards of practice for treatment of residents with dementia and appropriate
			 to the resident's stage of disease.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.028 - Dementia Special Care Unit Disclosure Requirement

Current through Register 1525, July 5, 2024
(A) A nursing home that holds itself out to
			 the public or advertises having a DSCU shall complete a DSCU disclosure form,
			 as provided in Department guidelines by May 29, 2014 and then annually on March
			 1st, regardless of whether the information reported
			 in the form has changed.
(B) The
			 most current disclosure form shall be provided by the facility to each of the
			 following parties:
(1) Each resident or the
			 resident's representative, seeking to be admitted to the DSCU, prior to the
			 resident's admission;
(2) Any
			 member of the public who requests a copy of the disclosure statement.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.029 - Physical Environment for Dementia Special Care Units

Current through Register 1525, July 5, 2024
(A)
General
			 Requirements
.
(1) A home-like
			 environment is encouraged for design of DSCU. The design and environment of a
			 unit shall assist residents in their activities of daily living, enhance their
			 quality of life, reduce tension, agitation and problem behaviors, and promote
			 their safety.
(2) The DSCU must
			 encompass the entirety of a nursing care unit, as defined by
			 105
			 CMR 150.020:
Skilled Nursing Care
			 Facility (Level II) and Supportive Nursing Care Facility (Level III)
and 150.310:
Required Supporting Elements - Nursing Care
			 Units
.
(3) A DSCU shall
			 meet the requirements listed in 105 CMR 150.029(B) through (K) in addition to
			 the requirements set forth in
			 105 CMR
			 150.017.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.030 - Definitions

Current through Register 1525, July 5, 2024
The following definitions apply to
				105
				CMR 150.031:
Appropriate Resident
means a resident
				whose primary care provider has:
(1) Diagnosed a terminal illness or condition can reasonably be
				expected to cause the resident's death within six months, whether or not
				treatment is provided, provided the primary care provider determines discussion
				of palliative care services is not contraindicated; or
(2) Determined discussion of palliative care services is
				consistent with the resident's clinical and other circumstances and the
				resident's reasonably known wishes and beliefs.
Hospice Care
means careprovided by an
				entity licensed pursuant to
				105 CMR 141.000:
Licensure of Hospice Programs
.
Palliative Care
means the attempt to
				prevent or relieve pain and suffering and to enhance the resident's quality of
				life, and may include, but is not limited to, interdisciplinary end-of-life
				care and consultation with residents and families.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.031 - Provision of Information on Palliative Care and End-of-life Options

Current through Register 1525, July 5, 2024
(A) Each long-term care facility shall
			 distribute to appropriate residents, directly or through professionally
			 qualified individuals, culturally and linguistically suitable information
			 regarding the availability of palliative care and end-of-life options. This
			 obligation shall be fulfilled by providing the resident with:
(1) A Department-based informational
			 pamphlet; or
(2) A similar
			 informational pamphlet that meets the specifications in 105 CMR
			 150.031(B).
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.100 - State and Local Rules

Current through Register 1525, July 5, 2024
Facilities shall comply with all state laws and local rules and
				ordinances applicable to construction, alteration and structural changes. In
				the absence of any ordinance or code,
				105 CMR 150.000 shall
				apply.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.110 - Type of Construction

Current through Register 1525, July 5, 2024
Facilities shall be of Type IB construction as set forth under
				M.G.L. c. 111 and the Massachusetts State Building Code (780 CMR 407.1.1:
Other Reference
). 105 CMR 150.110 shall not apply to any
				facility seeking to upgrade in whole or in part from Level III to a higher
				level of care if all units, components or additions of said facility were
				originally constructed as a long-term care facility. 105 CMR 150.110 shall not
				apply to any unit or units which a hospital seeks to convert to a hospital
				based long-term care facility as defined in 105 CMR 150.110, provided the unit
				or units planned for conversion were operating as licensed inpatient unit(s) at
				any time on or after April 1, 1988.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.120 - Determination of Need Approvals

Current through Register 1525, July 5, 2024
New construction, conversions, alterations, additions or other
				structural changes or acquisition of special equipment (not ordinarily provided
				in long-term-care facilities) in a proposed or existing facility shall not be
				made until a determination of need, if applicable, has been made by the
				Department and approval of the final plans and specifications for construction
				or acquisition of such equipment have been issued by the Department of Public
				Health.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.130 - Conversions

Current through Register 1525, July 5, 2024
Conversions of structures not designed, built and licensed as
				hospitals, convalescent or nursing homes, rest homes, infirmaries maintained in
				towns, or charitable homes for the aged, to facilities of Level I, II, III or
				IV care, shall be allowed only with the specific approval of the Department,
				and only where such conversions will result in compliance with the
				105 CMR
				150.000.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.150 - Special Requirements

Current through Register 1525, July 5, 2024
(A) The space that
			 constitutes the premises of the licensed long-term care facility and the
			 premises of the licensed hospital shall not be intermingled space. The space
			 that constitutes the hospital shall be contiguous space and the space that
			 constitutes the long-term care facility shall also be contiguous
			 space.
(B) The long-term care
			 facility shall be physically separated from the hospital by means of
			 partitions, doors or other barrier.
(C) The long-term care facility shall not be
			 used as thoroughfare to other parts of the hospital building.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.200 - Location

Current through Register 1525, July 5, 2024
Each facility shall be located on a site subject to the
				approval of the Department. Sites shall be away from nuisances such as large
				commercial or industrial developments or similar developments that produce high
				levels of noise or air pollution; and shall afford a safe and sanitary
				environment for residents.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.220 - Parking

Current through Register 1525, July 5, 2024
(A) Parking shall be provided in accordance
			 with the provisions of local zoning and building ordinances, but in no case
			 shall the ratio of off-street parking be less than one parking space for each
			 four beds.
(B)
Disabled
			 Parking
. At least two parking spaces shall be provided and
			 identified for use by the physically disabled. These spaces shall be in close
			 proximity to the building entrance and shall comply with 521 CMR 1.00:
Architectural Access Board
.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.230 - Provisions for Individuals with Disabilities

Current through Register 1525, July 5, 2024
(A)
Gradients of Walks
. Public walks shall be not less
			 than four feet wide and shall have a gradient that complies with 521 CMR 1.00:
Architectural Access Board
.
(B)
Walks - Continuous
			 Surface
. Walks shall be of a continuing common surface, not
			 interrupted by steps or abrupt changes in level. Wherever walks cross other
			 walks, driveways or parking lots, they shall blend to a common level.
(C) Access from parking areas through a
			 primary building entrance shall be a continuous level or ramped surface without
			 stairs or abrupt changes in level.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.300 - Maximum Number of Beds - Nursing Care Units

Current through Register 1525, July 5, 2024
(A)
			 Level I and II nursing units shall consist of not more than 41 beds.
(B) Level III nursing units shall consist of
			 not more than 60 beds.
(C) A
			 nursing unit shall not encompass beds on more than one floor.
(D) An HB/LTCF shall consist of at least 20,
			 but not more than 41, beds.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.310 - Required Supporting Elements - Nursing Care Units

Current through Register 1525, July 5, 2024
A unit shall have, centrally located within its area, a special
				care room, if applicable, a staff workstation, a staff toilet, a walk-in
				medicine room, a clean utility room, a soiled utility room, a linen storage
				closet, a drinking fountain or water dispenser, a janitor's closet and a room
				for the storage of supplies and equipment.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.320 - Bedrooms - Nursing Care Units

Current through Register 1525, July 5, 2024
(A) Resident
			 bedrooms must adhere to the following:
(1)
			 The floor area of resident bedrooms, excluding closet, vestibule and toilet
			 room areas shall not be less than 125 square feet for single occupancy rooms
			 and 90 square feet per bed for multiple occupancy rooms.
(2) For HB/LTCFs, the floor area of resident
			 bedrooms, excludingcloset, vestibule and toilet room areas shall not be less
			 than 100 square feet for single occupancy rooms and 80 square feet per bed for
			 multiple occupancy rooms.
(3) Prior
			 to April 30, 2022, no resident bedroom shall contain more than four beds.
			 However, in the event of new construction or reconstruction, as defined by CMS,
			 of a building or nursing care unit, each of the affected resident bedrooms may
			 not contain more than two beds.
(4)
			 Rooms shall be shaped and sized so each bed can be placed at least three feet
			 from any lateral wall and at least three feet from any window or radiator. Beds
			 shall be spaced at least three feet from any other bed. Facilities must
			 maximize the distance between resident beds and ensure that bed placement is in
			 accordance with Department guidelines, if any. An unobstructed passageway of at
			 least four feet shall be maintained at the foot of each bed.
(5) Resident bedrooms shall have a floor
			 level above the grade level adjacent to the building.
(6) All resident bedrooms shall be along
			 exterior walls with window access to the exterior.
(7) All resident bedrooms shall open directly
			 to a main corridor and shall be permanently and clearly identified by number on
			 or beside each entrance door.
(8)
			 Each room with more than one bed shall have cubicle curtains or equivalent
			 built-in devices for privacy for each resident.
(9) Each resident bedroom shall contain
			 closet interior space of not less than two feet by two feet per resident with
			 at least five feet clear hanging space for the storage of personal belongings.
			 In addition, either a built-in or freestanding multiple-drawer bureau not less
			 than two feet wide with a minimum of one drawer per resident shall be
			 provided.
(10) Each resident
			 bedroom shall be sized and dimensioned to accommodate hospital-type beds of not
			 less than 76 inches long and 36 inches wide, a hospital-type bedside cabinet
			 and an easy chair or comfortable straight-back arm chair.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.330 - Special Care Room - Nursing Care Unit

Current through Register 1525, July 5, 2024
(A) In each
			 unit, unless all rooms on the unit are single occupancy, one single bedroom
			 shall be provided for occupancy by a resident requiring isolation or intensive
			 care. This room shall be located in close proximity to the nurse's station and
			 shall not have direct access with any other resident room. The room shall be
			 included in the quota and may be generally used until such time as it is used
			 for isolation or intensive care.
(B) The special care room shall be provided
			 with a separate toilet, lavatory and bathing fixture.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.340 - Nurses Station

Current through Register 1525, July 5, 2024
(A) A nurse's
			 station shall be conveniently located within each nursing unit and shall be
			 located not more than 100 feet from the entrance to any resident room. That
			 maximum distance may be extended to 150 feet if all resident rooms are
			 private.
(B) Each nurse's station
			 shall be sized to accommodate nursing and other clinical staff scheduled to be
			 present during any given shift.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.350 - Medicine Room - Nursing Care Units

Current through Register 1525, July 5, 2024
(A) A separate,
			 locked medicine room of sufficient square footage to accommodate staff working
			 with medications shall be provided directly off or immediately adjacent to each
			 nurse's station.
(B) Each medicine
			 room shall contain sufficient storage space and be equipped with a counter top
			 and a sink with hot and cold running water.
(C) A separate locked compartment shall be
			 provided for the storage of narcotics and other dangerous drugs.
(D) Each medicine room shall contain a
			 refrigerator for medication which requires refrigeration.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.360 - Activity Area - Nursing Care Units

Current through Register 1525, July 5, 2024
One day room solarium, sitting room or equivalent area with
				direct outside exposure shall be provided in each unit. Each such room or area
				shall have a minimum area of nine square feet for each bed authorized in the
				corresponding nursing unit.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.370 - Resident Bathrooms and Washrooms

Current through Register 1525, July 5, 2024
(A)
Bathing Facilities
. Bathing facilities shall be
			 provided in a ratio of not less than one per 15 residents. One of the bathing
			 facilities in the long-term care facility shall be a freestanding tub. The
			 freestanding tub shall be accessible from two sides and one end with a minimum
			 three-foot clearance. The tub shall be equipped with an acceptable type bath
			 lift, except smaller dimensions may be approved for an HB/LTCF, so long as such
			 facilities can accommodate residents using wheelchairs.
(B)
Shower
			 Construction
. Shower floors shall be flush and shall be without
			 curbs. The floor shall be sloped to the center of the shower stall. Mixing
			 valves and controls shall be mounted outside the shower stall. Shower enclosure
			 shall be not less than four feet by four feet or five feet wide by thirty
			 inches deep. A private dressing area adjoining each common shower enclosure
			 shall be provided. All common toilet or bathing facilities shall be separated
			 by solid wall partitions or dividers.
(C)
Toilets and Handwashing
			 Facilities
.
(1) All resident
			 bedrooms shall be provided with at least one water closet and one lavatory.
			 Each water closet and lavatory may be positioned between adjacent rooms. They
			 must be directly accessible from each room.
(2) One water closet and one lavatory shall
			 be provided for residents of each sex on each unit and shall be located in
			 areas convenient to day rooms and any unit dining rooms. Such areas must be
			 sized to accommodate residents' wheelchairs.
(3) All common toilet facilities shall be
			 separated by solid wall partitions or dividers.
(4) In HB/LTCFs, if each resident room does
			 not have direct access to toilet and handwashing facilities, such facilities
			 shall be provided and located conveniently to the resident rooms at ratios of
			 one toilet fixture to every four residents.
(5) In addition to the requirements of 105
			 CMR 150.370(C), facilities shall have sufficient equipment to meet the
			 toileting needs of their residents.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.380 - Storage Areas - Nursing Care Units

Current through Register 1525, July 5, 2024
(A)
Linen Closet
. A linen storage closet shall be provided
			 in each unit for the storage of daily linen needs.
(B)
Janitor Closets
.
(1) One janitor's closet shall be provided
			 for each unit. In no event shall there be less than one janitor's closet per
			 floor.
(2) Each janitor's closet
			 shall contain a service sink equipped with hot and cold running
			 water.
(3) Each janitor's closet
			 shall have adequate space for housekeeping equipment and shelving for the
			 storage of cleaning supplies.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.390 - Utility Rooms - Nursing Care Units

Current through Register 1525, July 5, 2024
(A)
Separate Clean and Soiled Rooms Required
. Each unit
			 shall contain separate clean and soiled utility rooms which shall not be
			 interconnected but shall have separate entrances off the corridor.
(B)
Clean Utility
			 Room
. The clean utility room shall contain wall hung and base
			 cabinets. The base cabinet shall be equipped with a counter top and sink with
			 hot and cold running water and a gooseneck spout. The minimum area shall be
			 70-square feet with no dimension less than six feet.
(C)
Soiled Utility
			 Room
. The soiled utility room shall contain a service sink with
			 gooseneck faucet and hot and cold running water; either a clinical service sink
			 or a device to ensure adequate waste disposal, and washing and sanitizing of
			 equipment; and a work counter with contiguous space at least 24 inches wide and
			 36 inches high by four feet long. Handwashing facilities shall be provided. The
			 minimum area shall be 70-square feet with no dimension less than six
			 feet.
(D) Smaller dimensions maybe
			 approved for HB/LTCFs and long term care facility with 20 or fewer
			 single-occupancy resident bedrooms per unit and no multi-bed rooms.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.410 - Required Supporting Elements - Resident Care Units

Current through Register 1525, July 5, 2024
All units shall have, centrally located:
(A) a staff workstation;
(B) a special care room, if
			 applicable;
(C) a staff
			 toilet;
(D) a medicine
			 closet;
(E) a linen storage
			 closet;
(F) a drinking fountain or
			 water dispenser;
(G) a janitor's
			 closet; and
(H) a room for the
			 storage of supplies and equipment.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.420 - Resident Bedrooms - Resident Care Units

Current through Register 1525, July 5, 2024
(A) The
			 floor area of resident bedrooms, excluding closet, vestibule and toilet room
			 areas shall be not less than 125-square feet for single occupancy rooms and
			 90-square feet per bed for multiple occupancy rooms.
(B) No resident bedroom shall contain more
			 than four beds. Multi bedrooms shall be designed to permit no more than three
			 beds side by side parallel to the window wall.
(C) Rooms shall be shaped and sized so each
			 bed can be placed at least three feet from any lateral walland at least three
			 feet from any window or radiator. Beds shall be spaced at least three feet from
			 any other bed and an unobstructed passageway of at least four feet shall be
			 maintained at the foot of each bed. Variations in bed placement and dimensions
			 shall be permitted only with the approval of the Department.
(D) Resident bedrooms shall have a floor
			 level above the grade level adjacent to the building.
(E) All resident bedrooms shall be along
			 exterior walls with window access to the exterior.
(F) All resident bedrooms shall open directly
			 to a main corridor and shall be permanently and clearly identified by a number
			 on or beside each entrance.
(G)
			 Each room with more than one bed shall have cubicle curtains or equivalent
			 built-in devices for privacy for each resident.
(H) Each resident bedroom shall contain
			 closet interior space of not less than two feet by two feet per resident with
			 at least five feet clear hanging space for the storage of personal belongings.
			 In addition, either a built-in or free-standing multiple-drawer bureau not less
			 than two feet wide, with a minimum of one drawer per resident, shall be
			 provided.
(I) Each resident bedroom
			 shall be sized and dimensioned to accommodate household size or hospital-type
			 bed, a bedside cabinet and an easy chair or comfortable straight-back arm
			 chair.
(J) Units shall not
			 encompass beds on more than one floor.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.430 - Special Care Room - Resident Care Units

Current through Register 1525, July 5, 2024
(A) In each
			 unit, unless all rooms on the unit are single occupancy, one single bedroom
			 shall be available for occupancy by a resident requiring isolation. This room
			 shall be located in close proximity to the attendant's station and shall not
			 have direct access with any other resident room. The room shall be included in
			 the quota and may be generally used until such time as it is used for
			 isolation.
(B) This room shall be
			 provided with a separate toilet, lavatory and bathing fixture.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.440 - Attendant's Station

Current through Register 1525, July 5, 2024
(A) An attendant's
			 station shall be conveniently located within each nursing unit and shall be
			 located not more than 150 feet from the entrance to any resident
			 room.
(B) Each attendant's station
			 shall be sized to accommodate staff scheduled to be present during any given
			 shift.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.450 - Medicine Closet - Resident Care Units

Current through Register 1525, July 5, 2024
(A) A medicine
			 closet is required within Level IV directly off or immediately adjacent to the
			 attendant's station.
(B) A separate
			 locked compartment shall be provided for the storage of narcotics and other
			 dangerous drugs.
(C) Each medicine
			 closet shall contain a refrigerator for medication which requires
			 refrigeration.
(D) Each medicine
			 closet shall contain sufficient storage space and be equipped with a counter
			 top and a sink with hot and cold running water.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.460 - Activity Areas - Resident Care Units

Current through Register 1525, July 5, 2024
One day room, solarium, sitting room or equivalent space with
				direct outside exposure shall be provided in each unit. Each such room or area
				shall have a minimum area of nine square feet for each bed authorized in the
				corresponding nursing unit.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.470 - Resident Bathrooms and Washrooms - Resident Care Units

Current through Register 1525, July 5, 2024
(A)
Bathing
			 Facilities
. Level IV bathing facilities shall be provided in a
			 ratio of not less than one per 15 residents. A free-standing tub is not
			 required within a Level IV Resident unit.
(B)
Shower
			 Construction
. Shower floors shall be flush and shall be without
			 curbs. The floor shall be sloped to the center of the shower stall. Mixing
			 valves and controls shall be mounted outside the shower stall. Shower enclosure
			 shall be not less than four feet by four feet or five feet wide by 30 inches
			 deep. A private dressing area adjoining each common shower enclosure shall be
			 provided.
(C)
Toilet
			 and Handwashing Facilities
.
(1)
			 All resident bedrooms shall be provided with at least one water closet and one
			 lavatory. Each water closet and lavatory may be positioned between adjacent
			 rooms. They shall be directly accessible from each room.
(2) One water closet and one lavatory shall
			 be provided for residents of each sex in each unit and shall be located in
			 areas convenient to day rooms and any unit dining rooms. Such areas shall be
			 sized to accommodate residents' wheelchairs.
(3) All common toilet facilities shall be
			 separated by solid wall partitions or dividers.
(4) In addition to the requirements of 105
			 CMR 150.470(C), facilities shall have sufficient equipment to meet the
			 toileting needs of their residents.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.480 - Storage Areas - Resident Care Units

Current through Register 1525, July 5, 2024
(A)
Linen Closet
. A linen closet shall be provided in each
			 unit for the storage of daily linen needs.
(B)
Janitor's
			 Closet
.
(1) One janitor's closet
			 shall be provided for each unit. In no event shall there be less than one
			 janitor's closet per floor.
(2)
			 Each janitor's closet shall contain a service sink equipped with hot and cold
			 running water.
(3) Each janitor's
			 closet shall have adequate space for housekeeping equipment and shelving for
			 the storage of cleaning supplies.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.500 - Storage Areas

Current through Register 1525, July 5, 2024
(A)
General Storage
. A general storage room or rooms shall
			 be provided in each facility with a total area of at least ten square feet per
			 bed for 100% of the total beds authorized.
(B)
Central Food
			 Storage
. A room with a minimum of 150-square feet shall be
			 provided for the storage of non-perishable foods. Shelves shall be
			 non-combustible and not more than 18 inches deep and 72 inches high and two
			 inches from the wall. Food supplies shall not be stored on the floor. In the
			 case of HB/LTCFs, if the hospital and the long-term care facility share dietary
			 services a separate storage area is not required.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.510 - General and Special Activity Areas

Current through Register 1525, July 5, 2024
(A)
General Activity Room
.
(1) A general activities room shall be
			 provided for the use of all residents. The area of this room shall be at least
			 eight square feet per bed for 100% of the total beds authorized.
(2) A storage closet shall be provided
			 adjacent to the general activities room for equipment utilized in recreational,
			 diversional and religious activities.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.520 - Examination and Treatment Room

Current through Register 1525, July 5, 2024
(A) A treatment room
			 shall be available in each facility providing Levels I, II or III care. This
			 room may also be used by physicians as an examination room. Use for any other
			 purpose shall be approved in writing by the Department.
(B) The treatment room shall have a minimum
			 area of 125-square feet with no dimension less than ten feet.
(C) The treatment room shall include
			 handwashing facilities with hot and cold running water and be sized and
			 dimensioned to accommodate a treatment table, instrument table, and locked
			 storage cabinet.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.530 - Office Space

Current through Register 1525, July 5, 2024
(A)
Administrative Offices
.
(1) Appropriate space and equipment shall be
			 provided for administrative activities and for the storage of medical
			 records.
(2) Separate offices of
			 not less than 80-square feet each shall be provided for the use of the
			 Administrator and the Director of Nurses. An office for the Director of Nurses
			 is not required within a free-standing Level IV facility.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.540 - Rehabilitation Service Areas

Current through Register 1525, July 5, 2024
(A)
General
.
(1) The
			 following rehabilitation service areas shall be permitted only in facilities
			 providing Levels I or II Care.
(2)
			 Rehabilitation service areas shall be sized and arranged to the extent
			 consistent with the program of treatment within the particular facility;
			 however, in each case, the following are the minimums that must be provided for
			 the types of therapy programmed.
(3) Physical environment for rehabilitation
			 service programs also providing services to outpatients shall include:
(a) direct entrance from the outside or
			 direct access from the main lobby that is accessible to persons with
			 disabilities;
(b) parking
			 convenient to the entrance to the rehabilitation program area;
(c) resident and staff toilet rooms
			 conveniently located near the rehabilitation service program areas; these
			 toilet rooms must be separate from those serving nursing units;
(d) adequate waiting and reception
			 areas;
(e) record storage;
			 and
(f) office space.
(4) The following equipment shall
			 be provided in rehabilitation areas:
(a)
			 treatment table, footstool and chairs;
(b) adequate linen supply;
(c) sanitary waste containers;
(d) hamper for soiled linen;
(e) curtains or cubicles to assure privacy;
			 and
(f) desk or table and chair for
			 clerical use.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.550 - Staff and Public Toilets and Washrooms

Current through Register 1525, July 5, 2024
(A) Toilets,
			 including washing facilities, shall be provided for visitors and staff separate
			 from those facilities used by residents.
(B) Visitor's toilets shall be conveniently
			 located and accessible to the normal visitors' entrance and lobby. This toilet
			 room may also serve administrative staff.
(C) Staff toilets shall be located in close
			 proximity to the kitchens and employees' locker rooms. Kitchen toilets shall
			 not open directly into food preparation areas and shall not be open to
			 visitors.
(D) Visitors and staff
			 toilets shall have toilet paper holders, paper towel dispensers, soap
			 dispensers and mirrors.
(E) At
			 least one public toilet room must be sized and appointed to accommodate the
			 physically disabled.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.560 - Central Kitchen

Current through Register 1525, July 5, 2024
Each facility must designate a kitchen that meets the following
				requirements:
(A) A handwashing sink
			 with hot and cold running water shall be provided together with disposable
			 towels and towel dispenser and a soap dispenser.
(B) A double-compartment sink with hot and
			 cold running water and an attached 30-inch drain board and backsplash for the
			 preparation and cleaning of fresh vegetables.
(C) A triple-compartment sink with hot and
			 cold running water and an attached 30-inch drain board on each side, with
			 backsplash, shall be provided for the washing of pots and pans.
(D) The kitchen floor shall have a floor
			 drain equipped with a grease trap and a backup flow check valve.
(E) A separate dishwashing area containing a
			 commercial dishwasher with attached dirty and clean work counters shall be
			 provided. Access of food carts containing soiled dishware shall not be through
			 the food preparation area. The dishwasher shall be equipped with a grease trap.
			 A separate entrance to the dishwashing area shall be provided.
(F) Dumbwaiters, when provided, shall open
			 into nourishment kitchens or dining rooms and shall be used exclusively for
			 food transportation.
(G) The rear
			 of all equipment not flush and sealed to the wall shall be at least eight
			 inches from the wall. Not less than eight inches of clear space shall be
			 provided between separately installed units. If units are to be joined, a
			 filler strip must be used. The minimum aisle width shall be 42 inches; except
			 areas where mobile equipment is used shall have a minimum aisle widthof 60
			 inches.
(H) Traffic through the
			 food service department shall be limited to authorized personnel. Food
			 receiving shall be in a separate area with space for scales and
			 counters.
(I) A separate and
			 defined area shall be provided for food cart washing, if food carts are used on
			 the unit.
(J) A separate janitor's
			 closet shall be provided specifically for the kitchen use.
(K) In the case of HB/LTCFs, if the hospital
			 and the long-term care facility share dietary services, a separate central
			 kitchen is not required.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.570 - Central Dining

Current through Register 1525, July 5, 2024
(A) A minimum of ten
			 square feet per bed for 100% of total authorized beds shall be provided for
			 resident dining areas.
(B) A
			 separate dining room shall be provided for staff and employees.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.580 - Nourishment Kitchen

Current through Register 1525, July 5, 2024
(A) A nourishment
			 kitchen room or alcove shall be conveniently located on each floor.
(B) The nourishment kitchen shall contain a
			 refrigerator, microwave oven, a toaster, a sink with hot and cold running
			 water, and storage cabinets.
(C) In
			 the case of HB/LTCFs, a nourishment kitchen shall be provided on each
			 unit.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.590 - Central Laundry

Current through Register 1525, July 5, 2024
(A) When total
			 laundry service is to be performed on the premises, sufficient space and
			 equipment for such service shall be provided.
(B) When total laundry service is not to be
			 performed on the premises, a laundry room of not less than 70-square feet shall
			 be provided. Each such room shall contain a washer, a dryer, a
			 double-compartment tub and shelving for the storage of soaps, bleaches and
			 other laundry supplies.
(C) In the
			 case of HB/LTCFs, if the hospital and the long-term care facility share laundry
			 services, a separate central laundry is not required.
(D)
Linen Storage
.
(1) A central linen room shall be provided
			 within each facility with a clear area of at least six feet by nine feet.
			 Shelving of at least 18 inches in depths shall be provided.
(2) A central soiled linen room shall be
			 provided within each facility with a clear area of at least six feet by nine
			 feet and shall be equipped with handwashing facilities.
(3) Laundry chutes, when provided, shall
			 terminate in the soiled linen room. Sufficient space shall be provided to
			 accommodate a laundry hamper.
(4)
			 The soiled linen room must be adjacent to the laundry room if total laundry
			 service is to be performed on the premises.
(5) Smaller dimensions may be approved for a
			 long term care facility with 20 or fewer single-occupancy resident bedrooms per
			 unit and no multi-bed rooms.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.600 - Corridors

Current through Register 1525, July 5, 2024
(A)
Corridors
.
(1) Corridors in areas used primarily by
			 residents in nursing homes shall not be less than eight feet wide. Corridor
			 width in all other corridors shall comply with 780 CMR 10.00:
Means of
			 Egress
and International Building Code section 1018.2.
(2) Existing corridors in an HB/LTCF may be
			 retained as long as they are at least four feet wide.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.610 - Ramps

Current through Register 1525, July 5, 2024
(A) Width of interior ramps in areas used by
			 residents shall conform to width under
			 105 CMR
			 150.600(A). Outside ramps
			 shall be not less than four feet in width.
(B) Ramp surfaces shall be constructed and
			 maintained in such a manner as to prevent slipping thereon.
(C) Street or ground floors having exits to
			 the exterior above grade shall have at least one ramp leading to grade to
			 accommodate residents using wheelchair and litter residents.
(D) Handrails shall be provided on both sides
			 of all ramps. Specification as to height, anchorage and curved returns as
			 listed in
			 105 CMR 150.600(B)
			  shall apply.
(E) Ramps shall have a gradient of not
			 greater than 8%.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.620 - Stairs and Stairways

Current through Register 1525, July 5, 2024
(A) Surfaces of
			 treads and landings shall be constructed and maintained so as to prevent
			 slipping.
(B) Handrails shall be
			 provided on both sides of all indoor and outdoor stairways. Specifications as
			 to height, width and anchorage as listed in
			 105 CMR 150.600(B)
			  shall apply. They shall have curved
			 returns.
(C) Steps in stairways
			 shall not have abrupt (square) nosing, and risers shall be tapered back
			 approximately 1½ inches at bottom of each riser. Risers where possible
			 should not exceed seven inches.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.630 - Doors and Doorways

Current through Register 1525, July 5, 2024
(A) All doors used
			 by residents shall be swing-type at least 41.5 inches in clear width except
			 toilet room doors which shall be at least 32 inches in clear width and, if
			 in-swinging, have pivots and manually operated emergency release. Doors in exit
			 stairway enclosures shall be at least 32 inches in clear width. Resident toilet
			 room doors shall be allowed to be surface mounted sliding doors provided that
			 their specifications comply with the Life Safety Code.
(B) Locks shall not be installed on doors
			 used by residents, unless each lock can be operated without key or tools on
			 both sides of the door.
(C) All
			 outside doors and doorways shall be made draft-free by the installation of
			 weather stripping or caulking material.
(D) Kitchen doors shall be a minimum of 42
			 inches wide.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.640 - Windows

Current through Register 1525, July 5, 2024
(A) The total glass area of windows in each
			 resident room shall be not less than 10% of the entire floor area of such
			 room.
(B) In order to furnish
			 natural fresh air, the windows in each resident bedroom shall be operable.
			 Exceptions to this standard will be considered in cases of fully air
			 conditioned facilities or areas.
(C) Windows with sills less than 30 inches
			 from the finished floor shall be provided with readily removable window guards
			 or special safety beams for the protection of residents.
(D) Operable windows shall be provided with
			 screens constructed from not less than 16 mesh wire screening.
(E) All outside windows shall be made
			 draft-free by the installation of either weather stripping or caulking
			 material.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.650 - Carpeting

Current through Register 1525, July 5, 2024
Carpet or carpet assemblies, where installed, shall be
				wall-to-wall and may be provided in all areas except those normally considered
				to be "wet areas", such as laundries, bathrooms, utility rooms,
				kitchens.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.660 - Room Surface Finishes

Current through Register 1525, July 5, 2024
(A) Interior
			 finished surfaces shall conform to local and state codes and to
			 105 CMR 150.000.
(B) Interior wall surfaces of all areas
			 assigned for resident housing, care, and recreation, exclusive of shower
			 enclosures, kitchen, food preparation areas, dishwashing areas, bathrooms,
			 toilets, utility rooms, and nourishment kitchens, shall be finished with a
			 smooth, non-absorbent, washable surface. Walls of kitchens, food preparation
			 areas, bathrooms, toilets utility rooms, nourishment kitchen and dishwashing
			 areas shall be finished to a height of at least 72 inches from the finished
			 floor with an impervious material.
(C) Floors of bathrooms, toilets, showers,
			 food preparation areas, utility rooms and nourishment kitchens shall be covered
			 with an impervious material.
(D)
			 Cove bases shall be provided for all floors where tile covering is directed;
			 cove bases shall not project more than a standard cove base beyond the surface
			 of the finished floor or wall.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.700 - Heating and Air Conditioning Systems

Current through Register 1525, July 5, 2024
(A) Every
			 facility shall be equipped with a heating system which is sufficient to
			 maintain a minimum temperature of 75/F throughout the facility at all times at
			 winter design temperatures.
(B)
			 Heating fixtures and all exposed pipes shall be shielded for the safety of
			 residents.
(C) Each heating fixture
			 shall be equipped with hand controls unless an individual automatic room
			 control is provided.
(D) Every
			 facility whose architectural plans are approved after the promulgation of 105
			 CMR 150.700(D) for new construction or major renovations such as the
			 installation of a heating air conditioning and ventilation system or complete
			 interior reconstruction shall be equipped with a cooling system which is
			 capable of maintaining a maximum temperature of 75/F throughout the resident
			 areas affected by the new construction or renovation at all times at summer
			 design temperatures. Temperatures must be maintained at a level which ensures
			 the comfort and health of residents of the facility.
Code of Massachusetts Regulations › 105 CMR - DEPARTMENT OF PUBLIC HEALTH › Title 105 CMR 150.000 - Standards for Long-Term Care Facilities › Section 150.710 - Ventilation Systems

Current through Register 1525, July 5, 2024
(A) Positive
			 mechanical exhaust ventilation shall be provided, regardless of natural
			 ventilation, and must be capable of assuring the minimum number of air changes
			 per hour for the following areas as required under the provisions of the M.G.L.
			 c. 111, § 72C:
(1) Kitchens, dishwashing
			 areas and diet kitchens shall have at least ten air changes per hour.
(2) Bathrooms, toilets and showers shall have
			 at least ten air changes per hour.
(3) Rooms for soiled linen shall have at
			 least ten air changes per hour.
(4)
			 Utility rooms, janitor's closets, laundry rooms and nurse's stations shall have
			 at least ten air changes per hour.