reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MINIMUM PHYSICAL PLANT STANDARDS › Section 205.32 - Janitor closet

Current through Register Vol. 54, No. 28, July 13, 2024
(a) At least one
					 janitor closet shall be provided in a unit. If physical arrangement permits,
					 one janitor's closet may serve more than one nursing unit or wing.
(b) A separate janitor's closet is required
					 for the kitchen.
The provisions of this §
													205.32 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MINIMUM PHYSICAL PLANT STANDARDS › Section 205.33 - Utility room

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Provisions
					 shall be made in each nursing unit near the nurses' station for utility rooms.
					 The area shall have separate soiled and clean workrooms. The rooms may not be
					 more than 120 feet from the most remote room served. If one nursing station
					 services several resident corridors, a soiled utility room shall be on each
					 unit.
(b) Facilities for flushing
					 and rinsing bedpans, such as a spray attachment for the clinical sink or a
					 separate bedpan flusher, shall be provided in the soiled workroom of each
					 nursing unit, unless bedpan flushing devices, together with bedpan lugs on
					 toilets are provided in each resident's toilet for this purpose.
(c) Hand-washing facilities shall be
					 available in the soiled and clean utility rooms.
The provisions of this §
													205.33 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MINIMUM PHYSICAL PLANT STANDARDS › Section 205.36 - Bathing facilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
					 facility shall provide a general bathing area in each nursing unit to serve
					 residents' bedrooms which do not have adjoining bathrooms with a bathtub or
					 shower.
(b) Bathing fixtures for
					 either the tub or shower shall be provided at a ratio of one fixture per 15
					 beds or major fraction thereof.
(c)
					 Unless bathing fixtures are located in a separate room, there shall be
					 compartments to permit privacy. Cubicle curtains may provide this
					 privacy.
(d) Each room or
					 compartment shall provide space for the use of bathing fixtures, wheelchairs
					 and dressing. Sufficient space shall be provided for the attendant who may need
					 to assist the resident.
(e) Each
					 bathing room shall include a toilet and lavatory. If more than one tub or
					 shower is in the bathing room, privacy shall be provided at each bathing
					 facility and at the toilet.
(f)
					 Showers designed for wheelchair use may be no less than 4 feet square, shall be
					 without curbs and shall have handrails and curtains.
(g) Water controls for handicapped shower
					 areas shall be located outside the shower stall. Other shower areas may have
					 standard installation of shower controls.
(h) The facility shall have at least one
					 bathtub in each centralized bath area on each floor that is accessible from
					 three sides with a minimum of 3 feet clearance on each side and 4 feet
					 clearance from the foot of the tub to adjacent wall or obstruction.
The provisions of this §
													205.36 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MINIMUM PHYSICAL PLANT STANDARDS › Section 205.37 - Equipment for bathrooms

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Grab
					 bars shall be installed as necessary at each tub and shower for safety and
					 convenience. Grab bars, accessories and anchorage shall have sufficient
					 strength to sustain a weight of 250 pounds for 5 minutes.
(b) The general bathroom or shower room used
					 by residents shall be provided with one emergency signal bell located in close
					 proximity to the tub or shower and which registers at the nursing station. This
					 is in addition to the emergency signal bell located at each toilet unless a
					 single bell can be reached by the resident from both the toilet and tub or
					 shower.
(c) Provisions shall be
					 made available to get residents in and out of bathtubs in a safe way to prevent
					 injury to residents and personnel. The facility shall provide appropriate
					 supervision and assistance to ensure the safety of all residents being
					 bathed.
(d) A dressing area shall
					 be provided immediately adjacent to the shower stall and bathtub. In the
					 dressing area, there shall be provisions for keeping clothes dry while
					 bathing.
(e) The facility shall
					 ensure that water for baths and showers is at a safe and comfortable
					 temperature before the resident is bathed.
The provisions of this §
													205.37 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MINIMUM PHYSICAL PLANT STANDARDS › Section 205.38 - Toilet facilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In
					 toilet rooms that adjoin resident bedrooms, there shall be at least one toilet
					 for four residents. This shall be directly accessible from bedrooms without
					 entering the general corridor. In no case may one toilet service more than two
					 bedrooms. The minimum dimension of a resident toilet room containing only a
					 toilet shall be 3 feet by 6 feet.
(b) There may be no less than 3 1/2 feet of
					 space from front of toilet to opposite wall or fixtures.
(c) There shall be at least one toilet on
					 each floor to accommodate residents in wheelchairs.
(d) At least one toilet room shall be
					 provided for toilet training. This room shall be accessible from the nursing
					 corridor and may serve the bathing area. Minimum dimensions for a
					 toilet-training room containing only a toilet shall be 5 feet by 6
					 feet.
(e) Floors or units with more
					 than eight residents of both sexes shall be provided with separate toilet
					 fixtures in a ratio of 1:4 or major fraction thereof for each sex. In existing
					 facilities, overall toilet fixtures shall be provided in a ratio of 1:8 or
					 major fraction thereof for each bed.
(f) Toilets and lavatories other than
					 resident facilities shall be provided for male and female visitors in
					 facilities.
The provisions of this §
													205.38 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MINIMUM PHYSICAL PLANT STANDARDS › Section 205.39 - Toilet room equipment

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Toilet rooms shall be provided with lavatory, soap or soap dispenser, paper
					 towels, mechanical dryer or other sanitary means of toweling. In toilet rooms
					 adjacent to bedrooms, the lavatory may be omitted if provided in each
					 bedroom.
(b) Toilets used by
					 residents shall be provided with handrails or assist bars on each side capable
					 of sustaining a weight of 250 pounds and an emergency call bell within reaching
					 distance.
The provisions of this §
													205.39 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MINIMUM PHYSICAL PLANT STANDARDS › Section 205.40 - Lavatory facilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 floor occupied by residents shall have lavatories in the ratio of 1:4 residents
					 or major fraction thereof. In existing facilities, lavatory fixtures shall be
					 provided in a ratio of 1:8 or major fraction thereof for each bed.
(b) A mirror shall be over each lavatory used
					 by residents.
The provisions of this §
													205.40 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MECHANICAL AND ELECTRICAL REQUIREMENTS › Section 205.61 - Heating requirements for existing construction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The heating system shall comply with
					 local and State codes. If there is a conflict, the more stringent requirements
					 shall apply.
(b) Exposed heating
					 pipes, hot water pipes or radiators in rooms and areas used by residents or
					 within reach of residents, shall be covered or protected to prevent injury or
					 burns to residents. This includes hot water or steam piping above
					 125°F.
The provisions of this §
													205.61 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MECHANICAL AND ELECTRICAL REQUIREMENTS › Section 205.62 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													205.62 amended under section 803
						  of the Health Care Facilities Act (35 P.S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P.S. §
														532(g)); deleted under
						  sections 102, 201(12), 601, 801.1 and 803 of the Health Care Facilities Act
						  (35
						  P.S. §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MECHANICAL AND ELECTRICAL REQUIREMENTS › Section 205.63 - Plumbing and piping systems required for existing and new construction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Potable ice may
					 not be manufactured or stored in the soiled utility room.
(b) Water distribution systems shall be
					 designed and arranged to provide potable hot and cold water at hot and cold
					 water outlets at all times. The system pressure shall be sufficient to operate
					 fixture and equipment during maximum demand periods.
(c) Hot water outlets accessible to residents
					 shall be controlled so that the water temperature of the outlets does not
					 exceed 110°F.
The provisions of this §
													205.63 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MECHANICAL AND ELECTRICAL REQUIREMENTS › Section 205.64 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													205.64 amended under section 803
						  of the Health Care Facilities Act (35 P.S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P.S. §
														532(g)); deleted under
						  sections 102, 201(12), 601, 801.1 and 803 of the Health Care Facilities Act
						  (35
						  P.S. §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MECHANICAL AND ELECTRICAL REQUIREMENTS › Section 205.66 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													205.66 amended under section 803
						  of the Health Care Facilities Act (35 P.S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P.S. §
														532(g)); deleted under
						  sections 102, 201(12), 601, 801.1 and 803 of the Health Care Facilities Act
						  (35
						  P.S. §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MECHANICAL AND ELECTRICAL REQUIREMENTS › Section 205.67 - Electric requirements for existing construction

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Artificial lighting shall be restricted
					 to electric lighting.
(b) Spaces
					 occupied by people, machinery and equipment within buildings shall have
					 electric lighting which is operational at all times.
(c) Electric lights satisfactory for
					 residents' activities shall be available.
(d) Electric lights in rooms used by
					 residents shall be placed or shaded to prevent direct glare to the eyes of
					 residents.
(e) Night lights shall
					 be provided in bedrooms, stairways, corridors, bathrooms and toilet rooms used
					 by residents.
(f) Arrangements to
					 transfer lighting from overhead fixtures to night light fixtures in stairways
					 and corridors shall be designed so that switches can only select between two
					 sets of fixtures and cannot extinguish both sets at the same time.
(g) In addition to night lights, residents'
					 bedrooms shall have general lighting. The light emitting surfaces of the night
					 light may not be in direct view of a resident in a normal in-bed
					 position.
(h) A reading light shall
					 be provided for each resident.
(i)
					 In each resident room there shall be grounding type receptacles as follows: one
					 duplex receptacle on each side of the head of each bed except for parallel
					 adjacent beds. Only one duplex receptacle is required between beds plus
					 sufficient duplex receptacles to supply portable lights, television and
					 motorized beds, if used, and one duplex receptacle on another wall.
(j) A nurse's calling station-signal
					 originating device-with cable with push button housing attached or other system
					 approved by the Department shall be provided at each resident bed location so
					 that it is accessible to the resident. Two cables and buttons serving adjacent
					 beds may be served by one station. An emergency calling station within reach of
					 the resident shall be provided at each bathing fixture and toilet unless a
					 single bell can be reached by the resident from both the bathing fixture and
					 the toilet. Cable and push button housing requirement will apply to those
					 facilities constructed after July 1, 1987.
(k) Calls shall register by a signal
					 receiving and indicating device at the nurses' station, and shall activate a
					 visible signal in the corridor at the resident's door. In multi-corridor
					 nursing units, additional visible signal indicators shall be installed at
					 corridor intersections.
The provisions of this §
													205.67 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MECHANICAL AND ELECTRICAL REQUIREMENTS › Section 205.68 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													205.68 amended under section 803
						  of the Health Care Facilities Act (35 P.S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P.S. §
														532(g)); deleted under
						  section 102, 201(12), 601, 801.1 and 803 of the Health Care Facilities Act
						  (35
						  P.S. §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › FURNISHINGS, EQUIPMENT AND SUPPLIES › Section 205.71 - Bed and furnishings

Current through Register Vol. 54, No. 28, July 13, 2024
A bed shall be equipped with a firm supporting mattress
						which is equal to the size of the frame and provides for the comfort and safety
						of the resident.
The provisions of this §
													205.71 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › FURNISHINGS, EQUIPMENT AND SUPPLIES › Section 205.72 - Furniture

Current through Register Vol. 54, No. 28, July 13, 2024
A resident shall be provided with a drawer or cabinet in
						the resident's room that can be locked.
The provisions of this §
													205.72 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › FURNISHINGS, EQUIPMENT AND SUPPLIES › Section 205.74 - Linen

Current through Register Vol. 54, No. 28, July 13, 2024
The facility shall have available at all times a quantity
						of linens essential for proper care and comfort of residents.
The provisions of this §
													205.74 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › SUPPLIES › Section 205.75 - Supplies

Current through Register Vol. 54, No. 28, July 13, 2024
Adequate supplies shall be available at all times to meet
						the residents' needs.
The provisions of this §
													205.75 amended under section 803
						  of the Health Care Facilities Act (35 P. S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P. S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 205 - PHYSICAL PLANT AND EQUIPMENT STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › MISCELLANEOUS PROVISIONS › Section 205.101 - Notice and opportunity to comment

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter applies to facility construction, alteration
						or renovation approved by the Department before July 1, 2023.
The provisions of this §
													205.101 added under sections 102,
						  201(12), 601, 801.1 and 803 of the Health Care Facilities Act (35 P.S. §
														§
														448.102,
						  448.201(12). 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)), unless otherwise
						  noted.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 207 - HOUSEKEEPING AND MAINTENANCE STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › HOUSEKEEPING AND MAINTENANCE › Section 207.2 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													207.2 deleted under sections 102,
						  201(12), 601, 801.1 and 803 of the Health Care Facilities Act (35 P.S.
						  §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 207 - HOUSEKEEPING AND MAINTENANCE STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › HOUSEKEEPING AND MAINTENANCE › Section 207.4 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													207.4 amended under section 803 of
						  the Health Care Facilities Act (35 P.S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P.S. §
														532(g)); deleted under
						  sections 102, 201(12), 601, 801.1 and 803 of the Health Care Facilities Act
						  (35
						  P.S. §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 209 - FIRE PROTECTION AND SAFETY PROGRAMS FOR LONG-TERM CARE NURSING FACILITIES › FIRE PROTECTION AND SAFETY › Section 209.1 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													209.1 deleted under sections 102,
						  201(12), 601, 801.1 and 803 of the Health Care Facilities Act (35 P.S. §
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 209 - FIRE PROTECTION AND SAFETY PROGRAMS FOR LONG-TERM CARE NURSING FACILITIES › FIRE PROTECTION AND SAFETY › Section 209.3 - Smoking

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Policies
					 regarding smoking shall be adopted. The policies shall include provisions for
					 the protection of the rights of the nonsmoking residents. The smoking policies
					 shall be posted in a conspicuous place and in a legible format so that they may
					 be easily read by residents, visitors and staff.
(b) Proper safeguards shall be taken against
					 the fire hazards involved in smoking.
(c) Adequate supervision while smoking shall
					 be provided for those residents who require it.
(d) Smoking by residents in bed is prohibited
					 unless the resident is under direct observation.
(e) Smoking is prohibited in a room, ward or
					 compartment where flammable liquids, combustible gases or oxygen is used or
					 stored, and in other hazardous locations. The areas shall be posted with "NO
					 SMOKING" signs.
(f) Ash trays of
					 noncombustible material and safe design shall be provided in areas where
					 smoking is permitted.
(g)
					 Noncombustible containers with self-closing covers shall be provided in areas
					 where smoking is permitted.
The provisions of this §
													209.3 amended under section 803 of
						  the Health Care Facilities Act (35 P.S. §
														448.803); and section 2102(g) of The
						  Administrative Code of 1929 (71 P.S. §
														532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 209 - FIRE PROTECTION AND SAFETY PROGRAMS FOR LONG-TERM CARE NURSING FACILITIES › FIRE PROTECTION AND SAFETY › Section 209.7 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													209.7 deleted under sections 102,
						  201(12), 601, 801.1 and 803 of the Health Care Facilities Act (35 P.S.
						  §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 209 - FIRE PROTECTION AND SAFETY PROGRAMS FOR LONG-TERM CARE NURSING FACILITIES › FIRE PROTECTION AND SAFETY › Section 209.8 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
The provisions of this §
													209.8 deleted under sections 102,
						  201(12), 601, 801.1 and 803 of the Health Care Facilities Act (35 P.S.
						  §§
														448.102,
						  448.201(12), 448.601,
						  448.801a and 448.803); and section 2102(a) and (g) of The Administrative Code
						  of 1929 (71 P.S. §
														532(a) and
						  (g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.1 - Reportable diseases

Current through Register Vol. 54, No. 28, July 13, 2024
(a) When a
				  resident develops a reportable disease, the administrator shall report the
				  information to the appropriate health agencies and appropriate Division of
				  Nursing Care Facilities field office. Reportable diseases, infections and
				  conditions are listed in §
										27.21a (relating to reporting of
				  cases by health care practitioners and health care facilities).
(b) Cases of scabies or lice or bed bug
				  infestations shall be reported to the appropriate Division of Nursing Care
				  Facilities field office.
(c)
				  Significant nosocomial outbreaks, as determined by the facility's medical
				  director, Methicillin Resistant Staphylococcus Aureus (MRSA),
				  VancomycinResistant Staphylococcus Aureus (VRSA), Vancomycin-Resistant
				  Enterococci (VRE) and Vancomycin-Resistant Staphylococcus Epidermidis (VRSE)
				  shall be reported to the appropriate Division of Nursing Care Facilities field
				  office.
The provisions of this §
												211.1 amended under section 803 of
						the Health Care Facilities Act (35 P.S. §
													448.803); and section 2102(g) of The
						Administrative Code of 1929 (71 P.S. §
													532(g)); amended under the
						Disease Prevention and Control Law of 1955 (35 P.S. §§
													521.1-521.21).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.2 - Medical director

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  [Reserved].
(b)
				  [Reserved].
(c) In addition to the
				  requirements of 42 CFR
				  483.70(h) (relating to
				  administration), the medical director of a facility shall be licensed as a
				  physician in this Commonwealth and shall complete at least four hours annually
				  of continuing medical education (CME) pertinent to the field of medical
				  direction or post-acute and long-term care medicine. The medical director may
				  be designated for single or multiple facilities. There shall be a written
				  agreement between the physician and the facility.
(d) The medical director's responsibilities
				  shall include at least the following:
(1)
				  [Reserved].
(2)
				  [Reserved].
(3) Ensuring the
				  appropriateness and quality of medical care and medically related
				  care.
(4) Assisting in the
				  development of educational programs for facility staff and other
				  professionals.
(5) Working with the
				  facility's clinical team to provide surveillance and develop policies to
				  prevent the potential infection of residents in accordance with the infection
				  control requirements under 42 CFR 483.80 (relating to
				  infection control).
(6) Cooperating
				  with facility staff to establish policies for assuring that the rights of
				  individuals are respected.
(7)
				  Supporting and promoting person-directed care such as the formation of advance
				  directives, end-of-life care, and provisions that enhance resident decision
				  making, including choice regarding medical care options.
(8) Identifying performance expectations and
				  facilitating feedback to physicians and other health care practitioners
				  regarding their performance and practices.
(9) Discussing and intervening, as appropriate, with a health care
				  practitioner regarding medical care that is inconsistent with current standards
				  of care.
(10) Assisting in
				  developing systems to monitor the performance of health care practitioners,
				  including mechanisms for communicating and resolvingissues related to medical
				  care and ensuring that other licensed practitioners who may perform
				  physician-delegated tasks act within their scope of
				  practice.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.3 - Verbal and telephone orders

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
				  physician's oral and telephone orders shall be given to a registered nurse,
				  physician or other individual authorized by appropriate statutes and the State
				  Boards in the Bureau of Professional and Occupational Affairs and shall
				  immediately be recorded on the resident's clinical record by the person
				  receiving the order. The entry shall be signed and dated by the person
				  receiving the order. Written orders may be by fax.
(b) A physician's oral and telephone orders
				  for care and treatments, shall be dated and countersigned with the original
				  signature of the physician within 7 days of receipt of the order. If the
				  physician is not the attending physician, he shall be authorized and the
				  facility so informed by the attending physician and shall be knowledgeable
				  about the resident's condition.
(c)
				  A physician's telephone and oral orders for medications shall be dated and
				  countersigned by the prescribing practitioner within 48 hours. Oral orders for
				  Schedule II drugs are permitted only in a bona fide emergency.
(d) Oral orders for medication or treatment
				  shall be accepted only under circumstances where it is impractical for the
				  orders to be given in a written manner by the responsible practitioner. An
				  initial written order as well as a countersignature may be received by a fax
				  which includes the practitioner's signature.
(e) The facility shall establish policies
				  identifying the types of situations for which oral orders may be accepted and
				  the appropriate protocols for the taking and transcribing of oral orders in
				  these situations, which shall include:
(1)
				  Identification of all treatments or medications which may not be prescribed or
				  dispensed by way of an oral order, but which instead require written
				  orders.
(2) A requirement that all
				  oral orders be stated clearly, repeated by the issuing practitioner, and be
				  read back in their entirety by personnel authorized to take the oral
				  order.
(3) Identification of all
				  personnel authorized to take and transcribe oral orders.
(4) The policy on fax
				  transmissions.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.4 - Procedure in event of death

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  Written postmortem procedures shall be available to all personnel.
(b) Documentation shall be on the resident's
				  clinical record that the next of kin, guardian or resident representative has
				  been notified of the resident's death. The name of the notified party shall be
				  written on the resident's clinical record.
The provisions of this §
												211.4 amended under section 803 of
						the Health Care Facilities Act (35 P. S. §
													448.803); and section 2102(g) of The
						Administrative Code of 1929 (71 P. S. §
													532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.5 - Medical records

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  [Reserved].
(b) Information
				  contained in a resident's record shall be privileged and confidential. Written
				  consent of the resident or the resident representative is required for release
				  of information, except as follows:
(1)
				  Written consent is not necessary for authorized representatives of the Federal
				  and State government during the conduct of their official duties.
(2) Written consent is not necessary for the
				  release of medical records for treatment purposes in accordance with Federal
				  and State law.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.6 - Dietary services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Menus shall
				  be planned and posted in the facility or distributed to residents at least 2
				  weeks in advance. Records of menus of foods actually served shall be retained
				  for 30 days. When changes in the menu are necessary, substitutions shall
				  provide equal nutritive value.
(b)
				  [Reserved].
(c)
				  [Reserved].
(d)
				  [Reserved].
(e)
				  [Reserved].
(f) Dietary personnel
				  shall practice hygienic food handling techniques. Employees shall wear clean
				  outer garments, maintain a high degree of personal cleanliness and conform to
				  hygienic practices while on duty. Employees shall wash their hands thoroughly
				  with soap and water before starting work, after visiting the toilet room and as
				  often as necessary to remove soil and contamination.
The provisions of this §
												211.6 amended under section 803 of
						the Health Care Facilities Act (35 P. S. §
													448.803); and section 2102(g) of The
						Administrative Code of 1929 (71 P. S. §
													532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.7 - Physician assistants and certified registered nurse practitioners

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  [Reserved].
(b) If the facility
				  utilizes the services of physician assistants or certified registered nurse
				  practitioners, the following apply:
(1)
				  [Reserved].
(2) There shall be a
				  list posted at each workstation of the names of the supervising physician and
				  the persons, and titles, whom they supervise.
(3) A copy of the supervising physician's registration from the
				  State Board of Medicine or State Board of Osteopathic Medicine and the
				  physician assistant's or certified registered nurse practitioner's certificate
				  shall be available in the facility.
(4) A notice plainly visible to residents shall be posted in
				  prominent places in the institution explaining the meaning of the terms
				  ''physician assistant'' and ''certified registered nurse practitioner.''
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.8 - Use of restraints

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  [Reserved].
(b)
				  [Reserved].
(c)
				  [Reserved].
(c.1) If restraints are
				  used, a facility shall use the least restrictive method for the least amount of
				  time to safely and adequately respond to individual resident needs in
				  accordance with the resident's comprehensive assessment and comprehensive care
				  plan. The following shall apply:
(1) When a
				  recurring restraint is ordered, the facility shall document the need for the
				  restraint and the personnel responsible for performing the intervention on each
				  shift.
(2) A facility shall
				  document the type of restraint and each time a restraint is used or
				  removed.
(3) In determining the
				  least restrictive method for the least amount of time, the following minimums
				  apply:
(i) Physical restraints shall be
				  removed at least 10 minutes out of every 2 hours during normal waking hours to
				  allow the resident an opportunity to move and exercise.
(ii) During normal waking hours, the
				  resident's position shall be changed at least every 2
				  hours.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.9 - Pharmacy services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Facility
				  policies shall ensure that:
(1) Facility
				  staff involved in the administration of resident care shall be knowledgeable of
				  the policies and procedures regarding pharmacy services including medication
				  administration.
(2)
				  [Reserved].
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.10 - Resident care policies

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Resident
				  care policies shall be available to admitting physicians, sponsoring agencies,
				  residents and the public and shall reflect an awareness of, and provision for,
				  meeting the total medical, nursing, mental and psychosocial needs of
				  residents.
(b) The policies shall
				  be reviewed at least annually and updated as necessary.
(c) The policies shall be designed and
				  implemented to ensure that each resident receives treatments, medications,
				  diets and rehabilitative nursing care as prescribed.
(d) The policies shall be designed and
				  implemented to ensure that the resident receives proper care to prevent
				  pressure sores and deformities; that the resident is kept comfortable, clean
				  and well-groomed; that the resident is protected from accident, injury and
				  infection; and that the resident is encouraged, assisted and trained in
				  self-care and group activities.
The provisions of this §
												211.10 amended under section 803
						of Health Care Facilities Act (35 P. S. §
													448.803); and section 2102(g) of The
						Administrative Code of 1929 (71 P. S. §
													532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.11 - Resident care plan

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The facility
				  shall designate an individual to be responsible for the coordination and
				  implementation of a written resident care plan. This responsibility shall be
				  included as part of the individual's job description.
(b) The individual responsible for the
				  coordination and implementation of the resident care plan shall be part of the
				  interdisciplinary team.
(c) A
				  registered nurse shall be responsible for developing the nursing assessment
				  portion of the resident care plan.
(d) The resident care plan shall be available
				  for use by personnel caring for the resident.
(e) The resident, when able, shall
				  participate in the development and review of the care plan.
The provisions of this §
												211.11 amended under section 803
						of the Health Care Facilities Act (35 P. S. §
													448.803); and section 2102(g) of The
						Administrative Code of 1929 (71 P. S. §
													532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.12 - Nursing services

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
				  [Reserved].
(b) There shall be a
				  full-time director of nursing services who shall be a qualified licensed
				  registered nurse.
(c) The director
				  of nursing services shall have, in writing, administrative authority,
				  responsibility and accountability for the functions and activities of the
				  nursing services personnel and shall serve only one facility in this
				  capacity.
(d) The director of
				  nursing services shall be responsible for:
(1) Standards of accepted nursing
				  practice.
(2) Nursing policy and
				  procedure manuals.
(3) Methods for
				  coordination of nursing services with other resident services.
(4) Recommendations for the number and
				  levels of nursing services personnel to be employed.
(5) General supervision, guidance and
				  assistance for a resident in implementing the resident's personal health
				  program to assure that preventive measures, treatments, medications, diet and
				  other health services prescribed are properly carried out and
				  recorded.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.15 - Dental services

Current through Register Vol. 54, No. 28, July 13, 2024
In addition to the requirements in
					 42 CFR
					 483.55 (relating to dental services), a
					 facility shall make provisions to assure that resident dentures are retained by
					 the resident. Dentures shall be marked for each resident.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.16 - Social services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A facility
				  shall employ a qualified social worker on a full-time basis except:
(1) A facility with 26 to 59 beds may employ
				  a part-time qualified social worker if the facility assessment indicates that a
				  full-time qualified social worker is not needed.
(2) A facility with 25 beds or less may either employ a part-time
				  qualified social worker or share the services of a qualified social worker with
				  another facility.
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart C - Long-Term Care Facilities › Chapter 211 - PROGRAM STANDARDS FOR LONG-TERM CARE NURSING FACILITIES › Section 211.17 - Pet therapy

Current through Register Vol. 54, No. 28, July 13, 2024
If pet therapy is utilized, a facility shall have written
					 policies and procedures to ensure all of the following:
(1) Animals are not permitted in the kitchen
				  or other food service areas, dining rooms when meals are being served, utility
				  rooms and rooms of residents who do not want animals in their rooms.
(2) Careful selection of types of animals is
				  made so the animals are not harmful or annoying to residents.
(3) The number and types of pets are
				  restricted according to the layout of the building, type of residents, staff
				  and animals.
(4) Animals are
				  carefully selected to meet the needs of the residents involved in the pet
				  therapy program.
(5)
				  [Reserved].
(5.1) Animals are up to
				  date on vaccinations, are in good health and do not pose a risk to the health
				  and safety of residents.
(6)
				  Animals and places where they reside or visit are kept clean and
				  sanitary.
(7) Infection prevention
				  and control measures, such as hand hygiene, are followed by residents and
				  personnel when handling animals.
The provisions of this §
												211.17 amended under section 803
						of the Health Care Facilities Act (35 P. S. §
													448.803); and section 2102(g) of The
						Administrative Code of 1929 (71 P. S. §
													532(g)).
Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart D - Health Planning › Chapter 301 - LIMITATION ON FEDERAL PARTICIPATION FOR CAPITAL EXPENDITURES › Section 301.1 - Applicability

Current through Register Vol. 54, No. 28, July 13, 2024
This chapter is applicable to reviews of proposed capital
					 expenditures by covered health care facilities conducted by the Department of
					 Health under an agreement with the United States Department of Health and Human
					 Services and implementing Federal regulations,
					 42 CFR
					 100.101-100.109 (relating to
					 cost containment and quality control). The agreement is authorized by section
					 1122 of the Social Security Act (42 U.S.C.A. §
											1320a-1) ;
					 section 2102(a) and (g) of The Administrative Code of 1929 (71 P. S. §
											532(a) and (g)) and Act 56-A
					 of 1978 as it relates to the Health Department. The purpose of the program is
					 to assure that Federal and State funds appropriated under Titles V, XVIII and
					 XIX of the act (42 U.S.C.A.
					 §§
											701-709,
					 1395-1395zz and
					 1396-1396ff) and sections
					 441.1 -472 of the Public Welfare
					 Code (62 P. S. §§
											441.1-472) are not used to support
					 unnecessary capital expenditures made by or on behalf of health care facilities
					 or health maintenance organizations which are reimbursed under any of those
					 provisions.