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 37.106.2865 - PHYSICAL PLANT

Current through Register Vol. 13, July 5, 2024
(1) An assisted
				living facility must be constructed and maintained so as to prevent as much as
				possible the entrance and harborage of rats, mice, insects, flies and other
				vermin.
(2) The facility and
				facility grounds shall be kept orderly and free of litter and refuse and secure
				from hazards.
(3) When required by
				the building code authority having jurisdiction, at least one primary grade
				level entrance to the facility shall be arranged to be fully accessible to
				disabled persons.
(4) All exterior
				pathways or accesses to the facility's common use areas and entrance and exit
				ways shall be of hard, smooth material, accessible and be maintained in good
				repair.
(5) All interior or
				exterior stairways used by residents shall have sturdy handrails on one side
				installed in accordance with the uniform building code with strength and
				anchorage sufficient to sustain a concentrated 250-pound load to provide
				residents safety with ambulation.
(6) All interior and exterior materials and
				surfaces (e.g., floors, walls, roofs, ceilings, windows and furniture) and all
				equipment necessary for the health, safety and comfort of the resident shall be
				kept clean and in good repair.
(7)
				Carpeting and other floor materials shall be constructed and installed to
				minimize resistance for passage of wheelchairs and other ambulation aids.
				Thresholds and floor junctures shall also be designed and installed for passage
				of wheelchairs and to prevent a tripping hazard.
(8) The facility shall install grab bars at
				each toilet, shower, sitz bath and tub with a minimum of one and one half
				inches clearance between the bar and the wall and strength and anchorage
				sufficient to sustain a concentrated 250-pound load. If a toilet grab bar
				assist is used over a toilet, it must be safely stabilized and secured in order
				to prevent mishap.
(9) Any
				structure such as a screen, half wall or planter which a resident could use for
				support while ambulating shall be securely anchored.
(10) The bottoms of tubs and showers must
				have surfaces that inhibit falling and slipping.
(11) Hand cleansing soap or detergent and
				single use individual towels must be available at each sink in the commonly
				shared areas of the facility. A waste receptacle must be located near each
				sink. Cloth towels and bar soap for common use are not permitted.
(12) Hot water temperature supplied to hand
				washing, bathing and showering areas may not exceed 120°F.
(13) The facility shall provide locked
				storage for all poisons, chemicals, rodenticides, herbicides, insecticides and
				other toxic material. Hazardous material safety sheets and labeling shall be
				kept available for staff for all such products used and stored in the
				facility.
(14) Flammable and
				combustible liquids shall be safely and properly stored in original or
				approved, properly labeled containers in areas inaccessible to residents in
				accordance with the uniform fire code in amounts acceptable to the fire code
				authority having jurisdiction.
(15)
				Containers used to store garbage in resident bedrooms and bathrooms are not
				required to be covered unless they are used for food, bodily waste or medical
				waste. Resident containers shall be emptied as needed, but at least
				weekly.
(16) If the facility
				utilizes a non-municipal water source, the water source is tested at least once
				every 12 months for total coliform bacteria and fecal coliform or E. coli
				bacteria and corrective action is taken to assure the water is safe to drink.
				Documentation of testing is retained on the premises for 24 months from the
				date of the test.
(17) If a
				non-municipal sewage system is used, the sewage system must be in working order
				and maintained according to all applicable state laws and rules.
Sec.
					 50-5-103,
					 50-5-226
					 and
					 50-5-227,
					 MCA; IMP, Sec.
					 50-5-225,
					 50-5-226
					 and
					 50-5-227,
					 MCA;