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 713-4 - Standards For Nursing Home Construction After December 31, 2010 › Section 713-4.7 - Units for residents requiring neurobehavioral interventions

Current through Register Vol. 46, No. 28, July 10, 2024
(a) These dedicated
						and discrete units shall be either neurobehavioral units, or neurobehavioral
						step-down units. When provided, these separate units shall comply with section
						4.2 -2.2, "Resident unit," of part 4, "Residential Health Care Facilities," of
						the Guidelines for Design and Construction of Health Care Facilities, 2010
						edition, as described in more detail in section
						711.2(b)(7) of
						this Title, and with the following variations and additional requirements:
(1) Each neurobehavioral unit shall be
						designed for a minimum of 15 residents and a maximum of 20 residents and shall
						be planned as a secure unit. All resident bedrooms in neurobehavioral units
						shall be single occupancy.
(2) Each
						neurobehavioral step-down unit shall be limited to a maximum of 20 certified
						beds, and shall not be a secure unit. This unit shall be monitored for
						elopement however, with a delayed egress system on all unit doors.
						Neurobehavioral step-down units shall provide single occupancy resident rooms
						for at least 10 percent of the unit capacity. For the balance of the unit, the
						maximum number of beds in a resident room shall be two.
(3) Doors to resident bedrooms shall open
						outward.
(4) A private toilet room
						shall be provided for each resident bedroom.
(5) An exercise room shall be located on the
						unit and provide a minimum of 25 net square feet per resident. Additional space
						shall be provided for storage. Adjacent dedicated resident toilet and showers
						shall be provided.
(6) An activity
						room shall be located on the unit and provide a minimum of 38 net square feet
						per resident. Additional space shall be provided for equipment storage.
						Adjacent resident toilet and bathing facilities shall be provided.
(7) Each neurobehavioral step-down unit shall
						be provided at least one separate enclosed room providing a distraction-free
						treatment environment with visual and auditory separation from adjacent spaces
						and functions. This space shall accommodate a maximum of eight persons, for
						activities for functional living skills or cognitive skill
						development.
(8)
						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 room shall accommodate up to eight
						persons.
(9) Adequate on-unit
						offices shall be provided for staff use.
(10) Resident bathing facilities shall be
						provided at a ratio of one fixture per seven residents.
(11) Details and finishes shall be designed
						to provide a high degree of safety and security for both residents and staff.
(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 neurobehavioral units from adjacent functional areas of the facility shall
						be secure. Delayed egress doors shall be sufficient for neurobehavioral
						step-down units.
(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, which will 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) Secure outside
						activity areas shall be provided. Resident access to the areas shall be
						directly from the unit.