Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION › Subchapter D - FACILITY CONSTRUCTION › Division 2 - FACILITIES LICENSED BEFORE SEPTEMBER 11, 2003 › Section 554.306 - Toilet Facilities

Current through Reg. 49, No. 28; July 12, 2024
Each resident room must be equipped with or located near
						toilet and bathing facilities.
(1)
					 Bedrooms not provided with their own (or shared) direct-access toilets and
					 baths must have general-use baths and toilets conveniently located for each
					 sex.
(2) Bathtubs or showers must
					 be provided at minimum rate of one for each 20 beds which are not otherwise
					 served by bathing facilities directly accessible from resident
					 bedrooms.
(3) In toilet facilities
					 designed for multi-resident use, water closets must be separated in such a
					 manner that they can be used independently and afford privacy. Toilet paper in
					 a suitable dispenser must be provided within reach of each toilet.
(4) Water closets and lavatories must be
					 provided at a minimum rate of one for each eight beds which are not otherwise
					 served by fixtures directly accessible from resident bedrooms. A lavatory must
					 be provided in or adjacent to each area having a water closet.
(5) Lavatories must be equipped with a mixer
					 faucet and hot and cold water. Resident-use hot water must be provided within
					 the temperature guidelines specified in § 554.322(g) of Title 40 (relating
					 to Plumbing).
(6) There must be a
					 sufficient number of toilet rooms and bathing areas designed to accommodate
					 residents in wheelchairs, including sufficient space in or around fixtures.
					 Proper heights, locations, and installations must be made for grab bars, and
					 any mirrors and accessories provided.
(7) Grab bars and lavatories must be
					 substantially anchored to withstand sustained and repeated downward and outward
					 pressure. Grab bars must be provided at all resident water closets and bathing
					 fixtures. New grab bar installations must meet the requirements of the Texas
					 Department of Licensing and Regulation, Elimination of Architectural Barriers
					 Section.
(8) Floors, walls, and
					 ceilings must have a nonabsorbent, cleanable surface. Floors and tub or shower
					 standing surfaces must be slip resistant.
(9) Doors to bathing and toilet facilities
					 must be wide enough for safe and easy passage of residents in wheelchairs.
					 Folding or sliding doors must not be used unless it can be established that no
					 safety hazard exists.
(10) Keys to
					 resident baths or toilets with privacy locks must be kept readily available to
					 staff.
(11) Provision must be made
					 for sanitary hand washing and drying by staff, visitors, or residents at each
					 lavatory.
(12) Bathrooms and
					 toilets rooms must have a negative air pressure in relation to adjacent areas
					 with air exhausted through ducts to the exterior.
(13) Bathing areas must be provided with safe
					 heating.
(14) Bathtubs, showers,
					 and lavatories must be kept clean and in proper working order. They must not be
					 used for laundering or for storage of soiled materials or for the cleaning of
					 mops or brooms.
(15) Nurse-call
					 devices must be provided at resident-use baths and toilets and be within easy
					 reach of residents.
(16) Electrical
					 outlets in wet areas must be provided with ground fault interrupters, excluding
					 toilet rooms where there are no bathing units.