New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 2 - Medical Facility Construction › Part 713 - Standards Of Construction For Nursing Home Facilities › Subpart 713-3 - Standards For Nursing Home Construction Projects Completed Or Approved Between July 2, 1990 And December 31, 2010 › Section 713-3.7 - Units for residents requiring behavioral interventions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) When provided, behavioral intervention
						units shall comply with the requirements of a nursing unit in accordance with
						section 713-3.4 of this Subpart, with the
						following variations and additional requirements:
(1) The unit shall be planned as a secure
						unit that is separate from other units.
(2) The unit shall be designed for a minimum
						of 15 residents and a maximum of 20 residents.
(3) All resident bedrooms shall be single
						occupancy.
(4) Doors to resident
						bedrooms shall open outward.
(5) A
						private toilet room shall be provided for each resident bedroom.
(6) An exercise room shall be located on the
						unit and provide a minimum of 25 square feet per resident. Additional space
						shall be provided for storage. Adjacent dedicated resident toilet and showers
						shall be provided.
(7) An activity
						room shall be located on the unit and provide a minimum of 38 square feet per
						resident. Additional space shall be provided for equipment storage. Adjacent
						resident toilet and bathing facilities shall be provided.
(8) A room shall be provided for quieting
						down periods for over active and acting out residents. The room shall provide a
						minimum of 125 square feet of clear space, and shall be designed and furnished
						to protect the resident from self-injury. The door to the room shall be
						provided with a one-way panel with a view of the entire room.
(9) Conference/counseling rooms sufficient
						for private family meetings with facility personnel and for meetings of
						facility staff shall be provided on the nursing unit. At least one such room
						shall accommodate up to eight persons.
(10) Adequate on-unit offices shall be
						provided for staff use.
(11)
						Resident bathing facilities shall be provided at a ratio of one fixture per
						seven residents.
(12) In addition
						to the requirements set forth in section
						713-3.21 of this Subpart, details
						and finishes shall be designed to provide a high degree of safety and security
						for both residents and staff and shall comply with the following:
(i) Doors to all resident rooms shall be
						located so as to negate a possible resident hiding space behind the
						door.
(ii) Doors, which separate
						the unit from adjacent functional areas of the facility, shall be
						secure.
(iii) The walls of resident
						use rooms shall be constructed so as to resist damage.
(iv) The ceilings of resident use rooms shall
						be constructed to resist damage. The ceiling surface shall be monolithic from
						wall to wall.
(v) Light switches
						and electric convenience outlets shall be tamper proof.
(vi) Major room furnishings such as desks,
						dressers, night tables, and shelving shall be designed and/or installed to
						minimize the danger of injury to residents and staff.
(vii) Shower heads in resident bathing rooms
						shall be of a recessed type.
(viii)
						Operable windows shall be provided with devices that prevent the possibility of
						accidental falls. The operable sash opening shall be limited to six inches,
						however, alternate window opening protection may be acceptable, i.e., security
						screens. Window bars are not permitted.
(ix) An emergency call system for staff use
						shall be provided in all resident use spaces to permit staff communications in
						an emergency.
(x) Outside activity
						areas shall be provided. Resident access to the areas shall be directly from
						the unit.