reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2580 - Wardrobes in a resident room

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide:
(1) A separated, enclosed wardrobe or closet
					 for each resident's clothing and belongings accessible to the resident;
					 and
(2)
In a new building or
					 addition,
each bed in each room must have a separate, enclosed wardrobe
					 or closet accessible to the resident with:
(a)
					 Minimum inside dimensions of twenty-two inches deep by a minimum of twenty-six
					 inches wide by sixty inches high; and
(b) Inside space including a rod, at least
					 fifteen inches long, and allowing for fifty-four inches of clear hanging length
					 adjustable to meet the needs of the resident.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2600 - Seating in a resident room

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide comfortable seating for
						residents and visitors, not including resident care equipment, that provides
						proper body alignment and support.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2600, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2620 - Lighting in resident rooms

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide a permanently mounted or
						equivalent light suitable for any task the resident chooses to do or any task
						the staff must do.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2620, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2640 - Call signal device in resident rooms

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide a resident call signal
						device that complies with WAC
						388-97-2280.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2640, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2660 - Cubicle curtains in resident rooms

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide:
(1) Flame-retardant cubicle curtains in
					 multibed rooms that ensures full visual privacy for each resident;
(2)
In a new building or
					 addition,
the cubicle curtain or enclosed space ensures full visual
					 privacy for each bed in a multibed room with enclosed space containing at least
					 sixty-four square feet of floor area with a minimum dimension of seven feet.
					 "Full visual privacy" in a multibed room prevents staff, visitors and other
					 residents from seeing a resident in bed, while allowing staff, visitors, and
					 other residents access to the toilet room, handwashing sink, exterior window,
					 and the entrance door;
(3) For
					 exceptions to cubicle curtain requirements refer to WAC
					 388-97-2180.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2660, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2680 - Miscellaneous equipment in resident rooms in a new building or addition

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide:
(1) A phone jack for each bed in each
					 room;
(2) A handwashing sink in
					 each multibed room and a handwashing sink in each single room that does not
					 have an adjoining toilet room containing a handwashing sink. A handwashing sink
					 located in a resident bedroom must be located between the corridor entry door
					 and the nearest resident bed; and
(3) Storage that meets the requirements of
					 WAC 388-97-3000,
					 388-97-3020, and
					 388-97-3040.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2680, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Toilet and Bathing Facilities › Section 388-97-2700 - Resident toilet facilities or rooms

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that:
(1) Each resident room is equipped with or
					 located convenient to toilet facilities.
(2)
For new construction,
a
					 toilet room must:
(a) Be directly accessible
					 from each resident room and from each bathing facility without going through or
					 entering a general corridor while maintaining resident dignity;
(b) Serve two bedrooms or less;
(c) Be designed to accommodate a person in a
					 wheelchair;
(d) Contain at least
					 one handwashing sink; and
(e)
					 Provide a properly located and securely mounted grab bar at each side and the
					 back of each toilet fixture in each toilet room and stall. Grab bars on the
					 open side must be located twelve to eighteen inches from the center line of the
					 toilet. Grab bars on the open side must be able to swing up.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Toilet and Bathing Facilities › Section 388-97-2720 - Resident bathing facilities or rooms

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure:
(1) Each resident room is equipped with or
					 located near bathing facilities;
(2) At least one bathing unit for no more
					 than thirty residents that is not located in a room served by an adjoining
					 bathroom;
(3) At least one bathing
					 device for immersion per floor;
(4)
					 At least one roll in shower or equivalent on each resident care unit:
(a) Designed and equipped for unobstructed
					 ease of shower chair entry and use; and
(b) With a spray attachment equipped with a
					 backflow prevention device.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Toilet and Bathing Facilities › Section 388-97-2740 - Locks in toilet and bathing facilities

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure:
(1) All lockable toilet facilities and
					 bathrooms have a readily available means of unlocking from the outside;
					 and
(2) Locks are operable from the
					 inside with a single motion.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2740, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dining, Dayrooms, and Resident Activity Areas › Section 388-97-2760 - Dining, dayrooms, and resident activity areas

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing home must provide one or more
					 rooms designated for resident dining and activities that are:
(a) Well lighted;
(b) Well ventilated;
(c) Adequately furnished; and
(d) Large enough to accommodate all
					 activities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Laundry Services › Section 388-97-2780 - Laundry services and storage

Current through Register Vol. 24-14, July 15, 2024
The nursing home must comply with WAC
						388-97-1860 and ensure:
(1) Sufficient laundry washing and drying
					 facilities to meet the residents' care and comfort needs without
					 delay.
(2) That the nursing home
					 linen is disinfected in accordance with:
(a)
					 The temperature and time of the cycle as specified by the manufacturer;
					 or
(b) The hot water cycle using
					 the following table:
Water Temperature
Cycle Length
160 degrees F
At least 5 minutes
140 degrees F
At least 15 minutes
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dementia Care Unit › Section 388-97-2800 - Dementia care unit

Current through Register Vol. 24-14, July 15, 2024
A nursing home that began operating a dementia care unit
						at any time after November 13, 1989, must meet all requirements of this
						section, WAC
						388-97-2820 through
						388-97-2920, and the resident
						care unit requirements of WAC
						388-97-2220 through
						388-97-2380. Refer to WAC
						388-97-1040, for program
						requirements.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2800, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dementia Care Unit › Section 388-97-2820 - Dining areas on a dementia care unit

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing home must provide dining
					 areas in the dementia care unit which may also serve as day areas for the
					 unit.
(2)
In a new building
					 or addition,
the dining, dayroom, and activity area or areas on the unit
					 must provide a minimum of thirty square feet per resident.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2820, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dementia Care Unit › Section 388-97-2840 - Outdoor areas on a dementia care unit

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide the dementia care unit
						with:
(1) Secured outdoor space and
					 walkways;
(2) An ambulation area
					 with accessible walking surfaces that:
(a)
					 Are firm, stable, and free from cracks and abrupt changes with a maximum of one
					 inch between sidewalk and adjoining landscape areas;
(b) Have slip-resistant surfaces if subject
					 to wet conditions; and
(c)
					 Sufficient space and outdoor furniture with flexibility in arrangement of the
					 furniture to accommodate residents who use wheelchairs and mobility
					 aids.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dementia Care Unit › Section 388-97-2860 - Indoor areas on a dementia care unit

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide the dementia care unit
						with:
(1) Indoor ambulation areas that
					 meet the needs of the residents and are maintained free of equipment;
					 and
(2) Nontoxic indoor plants in
					 areas accessible to residents.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2860, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dementia Care Unit › Section 388-97-2880 - Ambulation route on a dementia care unit in a new building or addition

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that the dementia care unit
						has a continuous ambulation route which may include outdoor ambulation areas
						and allows the resident to return to the resident's starting point without
						reversing direction.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2880, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dementia Care Unit › Section 388-97-2900 - Physical plant on a dementia care unit

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Provide a staff toilet room with a
					 handwashing sink;
(2) Ensure that
					 floors, walls, and ceiling surfaces display contrasting color for
					 identification:
(a) Surfaces may have a
					 disguise design to obscure or conceal areas that residents should not enter,
					 except for exit doors and doorways; and
(b) Exit doors must be marked so that they
					 are readily distinguishable from adjacent construction and the way of exit
					 travel is obvious and direct.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Dementia Care Unit › Section 388-97-2920 - Special egress control devices on a dementia care unit

Current through Register Vol. 24-14, July 15, 2024
In dementia care units the nursing home must:
(1) Have proof that required approvals for
					 any special egress control devices were obtained from the state fire marshal,
					 department of social and health services, and the local official who enforces
					 the International Building Code and International Fire Code; and
(2)
In a new building or addition, or
					 when adding
special egress control devices to be used on doors and gates
					 which are a part of the exit system, the building must:
(a) Have obtained approval from department of
					 health construction review and the local official who enforces the
					 International Building Code and International Fire Code;
(b) Have an approved automatic fire alarm
					 system;
(c) Have an approved
					 supervised automatic fire sprinkler system which is electrically interconnected
					 with the fire alarm system; and
(d)
					 Have a system which must:
(i) Automatically
					 release if power to the system is lost;
(ii) Automatically release with activation of
					 the building's fire alarm system;
(iii) Release with an override switch
					 installed at each staff work station or at a constantly staff attended location
					 within the building; and
(iv) Have
					 directions for releasing the device at each egress controlled door and gate;
					 and
(e) Prohibit the use
					 of keyed locks at all doors and gates in all egress pathways.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Specialized and Outpatient Rehabilitation › Section 388-97-2940 - Specialized rehabilitation

Current through Register Vol. 24-14, July 15, 2024
(1) If
					 nursing homes initially licensed after October 1, 1981 provide inpatient
					 specialized rehabilitation, they must ensure that those services provide:
(a) Easy access in general service
					 areas;
(b) Exercise, treatment, and
					 supportive equipment as required by the narrative program in the construction
					 documents;
(c) Adequate space for
					 exercise equipment and treatment tables with sufficient work space on each
					 side;
(d) Privacy cubicle curtains
					 on tracks or the equivalent around treatment areas;
(e) A sink in the treatment area and a toilet
					 and handwashing sink in a toilet room nearby;
(f) Space and a desk or equivalent for
					 administrative, clerical, interviewing, and consultative functions;
(g) Adequate enclosed storage cabinets for
					 clean linen and supplies and locked storage for cleaning chemicals in the
					 rehabilitation room or nearby janitor's closet;
(h) Adequate storage space for large
					 equipment;
(i) A janitor's closet
					 close to the area;
(j) Soiled linen
					 storage; and
(k) A separate room or
					 area for hydrotherapy tanks, or the equivalent, if provided.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Specialized and Outpatient Rehabilitation › Section 388-97-2960 - Outpatient rehabilitation

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that facilities with
						outpatient programs provide:
(1) A
					 designated reception and waiting room or area and space for interviewing or
					 counseling individual outpatients and their families;
(2) Adequate space for the program so that
					 disruption to designated resident care units is minimized;
(3) Accessible toilet and shower facilities
					 nearby;
(4) Lockers or a safe place
					 to store outpatient personal belongings;
(5) A separate room or area for hydrotherapy
					 tanks, or the equivalent, if provided; and
(6)
In new construction,
required access must come from the exterior without passing through the
					 interior of the facility.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2960, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Food Services Areas › Section 388-97-2980 - Food service areas

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure food service areas are in
						compliance with chapter 246-215 WAC, state board of health rules governing food
						service sanitation. The nursing home must:
(1) Ensure food service areas are provided
					 for the purpose of preparing, serving, and storing food and drink unless food
					 service is provided from another licensed food service facility;
(2) Ensure food service areas are located to
					 facilitate receiving of food supplies, disposal of kitchen waste, and
					 transportation of food to dining and resident care areas;
(3) Locate and arrange the kitchen to avoid
					 contamination of food, to prevent heat and noise entering resident care areas,
					 and to prevent through traffic;
(4)
					 Locate the receiving area for ready access to storage and refrigeration
					 areas;
(5) Conveniently locate a
					 handwashing sink near the food preparation and dishwashing area, and include a
					 waste receptacle and dispensers stocked with soap and paper towels;
(6) Adequately ventilate, light, and equip
					 the dishwashing room or area for sanitary processing of dishes;
(7) Locate the garbage storage area in a
					 well-ventilated room or an outside area;
(8) Provide hot and cold water and a floor
					 drain connected to the sanitary sewage system in a can wash area, unless
					 located in outside covered area;
(9) Provide space for an office or a desk and
					 files for food service management located central to deliveries and kitchen
					 operations; and
(10) Include
					 housekeeping facilities or a janitor's closet for the exclusive use of food
					 service with a service sink and storage of housekeeping equipment and
					 supplies.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2980, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Storage › Section 388-97-3000 - Storage of equipment

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Provide adequate storage space for
					 wheelchairs and other ambulation equipment;
(2) Ensure stored equipment does not impinge
					 upon the required corridor space; and
(3)
In new construction,
provide
					 adequate storage of four square feet or more of storage space per bed which
					 does not impinge upon required corridor space.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3000, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Storage › Section 388-97-3020 - Storage of resident room equipment in a new building or addition

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide separate storage for extra
						pillows and blankets for each bed. This may be in a location convenient to the
						resident room or combined with the wardrobe or closet if it does not impinge
						upon the required space for clothing.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3020, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Storage › Section 388-97-3040 - General storage in new construction

Current through Register Vol. 24-14, July 15, 2024
A nursing home must have general storage space of not
						less than five square feet per bed in addition to the closets and storage
						required in WAC
						388-97-2560.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3040, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3060 - Lighting

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that lighting and lighting
						levels:
(1) Are adequate and
					 comfortable for the functions being conducted in each area of the nursing
					 home;
(2) Are suitable for any task
					 the resident chooses or any task the staff must do;
(3) Support the independent functioning of
					 the resident;
(4) Provide a
					 homelike environment; and
(5)
					 Minimize glare.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3060, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3080 - Natural or artificial light

Current through Register Vol. 24-14, July 15, 2024
(1) The
					 nursing home must ensure that adequate natural or artificial light for inside
					 illumination is provided in every useable room area, including but not limited
					 to storerooms, attic and basement rooms, hallways, stairways, inclines, and
					 ramps.
(2)
In new buildings
					 and additions,
the nursing home must utilize:
(a) Windows and skylights to minimize the
					 need for artificial light and to allow a resident to experience the natural
					 daylight cycle; and
(b) Windows and
					 skylights near entrances/exits in order to avoid difficulty in adjusting to
					 light levels when entering or leaving the facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3100 - Outside lighting

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure:
(1) Lighting levels in parking lots and
					 approaches to buildings are appropriate for resident and visitor convenience
					 and safety; and
(2) All outside
					 areas where nursing home equipment and machinery are stored have proper
					 lighting.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3100, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3120 - Light shields

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that light shields are
						provided in food preparation and serving areas, utility rooms, medication
						rooms, exam rooms, pool enclosures, laundry areas, and on ceiling mounted
						fluorescent lights in resident rooms.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3120, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3140 - Illumination levels in new buildings and additions

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure:
(1) Lighting fixtures and circuitry provide
					 at least the illumination levels appropriate to the task;
(2) Design takes into consideration that
					 lighting systems normally decrease in output with age and dirt accumulation;
					 and
(3) Light fixture locations and
					 switching arrangements are appropriate for the needs of the occupants of the
					 spaces and follow Illuminating Engineering Society (IES) recommendations for
					 health care facilities.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3140, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3160 - Night lights in new construction

Current through Register Vol. 24-14, July 15, 2024
The nursing home must install in each resident room a
						night light that is:
(1) Flush mounted
					 on the wall;
(2) Designed to
					 prevent viewing the light source from thirty inches or more above the
					 floor;
(3) Located to provide safe
					 pathway lighting for the staff and residents; and
(4) Controlled by a switch at each resident
					 room entrance door or by a master switch.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3160, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3180 - Switches in new construction

Current through Register Vol. 24-14, July 15, 2024
The nursing home must install quiet operating switches
						for general illumination adjacent to doors in all areas and accessible to
						residents in resident rooms.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3180, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Lighting and Electrical › Section 388-97-3200 - Electrical outlets

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must provide enough electrical outlets to meet the care and personal
					 appliance needs of each resident. An approved power tap may be used only for
					 portable appliances with specific overcurrent protection needs, such as a
					 computer. A "power tap" is a device for indoor use consisting of an attachment
					 plug on the end of a flexible cord and two or more receptacles on the opposite
					 end, with overcurrent protection. A power tap must be:
(a) Polarized or grounded;
(b) UL listed; and
(c) Directly connected to a permanently
					 installed electrical outlet.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Safety › Section 388-97-3220 - Safety

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide:
(1) A safe, functional, sanitary, and
					 comfortable environment for the residents, staff, and the public; and
(2) Signs to designate areas of
					 hazard.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3220, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Safety › Section 388-97-3240 - Safety - Poisons and nonmedical chemicals

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that poisons and
						nonmedicinal chemicals are stored in containers identified with warning labels.
						The containers must be stored:
(1) In
					 a separate locked storage when not in use by staff; and
(2) Separate from drugs used for medicinal
					 purposes.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3240, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Safety › Section 388-97-3260 - Safety - Storage of equipment and supplies

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that the manner in which
						equipment and supplies are stored does not jeopardize the safety of residents,
						staff, or the public.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3260, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Safety › Section 388-97-3280 - Safety - Handrails

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Provide handrails on each side of all
					 corridors and stairwells accessible to residents; and
(2)
In new construction
ensure
					 that:
(a) Ends of handrails are returned to
					 the walls;
(b) Handrails are
					 mounted thirty to thirty-four inches above the floor and project not more than
					 three and three-quarters inches from the wall; and
(c) Handrails terminate not more than six
					 inches from a door.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Water Supply › Section 388-97-3300 - Water supply

Current through Register Vol. 24-14, July 15, 2024
The nursing home must comply with the requirements of the
						group A, Public Water Systems, chapter 246-290 WAC or group B, Public Water
						Systems, chapter 246-291 WAC.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3300, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Water Supply › Section 388-97-3320 - Hot water

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure:
(1) The hot water system maintains water
					 temperatures at one hundred ten degrees Fahrenheit, plus or minus ten degrees
					 Fahrenheit, at fixtures used by residents and staff.
(2) For laundry temperatures, refer to WAC
					 388-97-2780.
(3) For dishwashing temperatures, refer to
					 chapter 246-215 WAC.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3320, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Water Supply › Section 388-97-3340 - Cross connections

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Prohibit all cross connections between
					 potable and nonpotable water;
(2)
					 Use backflow prevention devices on plumbing fixtures, equipment, facilities,
					 buildings, premises or areas which are actual or potential cross-connections to
					 prevent the backflow of water or other liquids, gases, mixtures or substances
					 into a water distribution system or other fixtures, equipment, facilities,
					 buildings or areas; and
(3) Follow
					 guidelines, practices, procedures, interpretations and enforcement as outlined
					 in the manual titled "Accepted Procedure and Practice in Cross-Connection
					 Control; Pacific NW Edition; American Waterworks Association," or any successor
					 manual, referenced in chapter 246-290 WAC for public water supply.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3340, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Pest Control and Sewage and Waste Disposal › Section 388-97-3360 - Pest control

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Maintain an effective pest control
					 program so that the facility is free of pests such as rodents and
					 insects;
(2) Construct and maintain
					 buildings to prevent the entrance of pests such as rodents and insects;
					 and
(3) Provide mesh screens or
					 equivalent with a minimum mesh of one-sixteenth inch on all windows and other
					 openings that can be left open.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3360, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Pest Control and Sewage and Waste Disposal › Section 388-97-3380 - Sewage and liquid waste disposal

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure:
(1) All sewage and liquid wastes are
					 discharged into an approved public sewage system where such system is
					 available; or
(2) Sewage and liquid
					 wastes are collected, treated, and disposed of in an on-site sewage system in
					 accordance with chapter 246-272A WAC and meets with the approval of the local
					 health department and/or the state department of health.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3380, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › New Construction Documents › Section 388-97-3400 - General new construction documents

Current through Register Vol. 24-14, July 15, 2024
(1) The project sponsor must submit plans for
					 all new construction to the department of health, construction review, for
					 review and approval. Documents must be approved before the work begins. The
					 project sponsor must also submit documents to department of health, certificate
					 of need for review and applicable determination.
(2) The nursing home may request exemptions
					 to new construction requirements as described in WAC
					 388-97-3500.
(3) If the proposed project is not extensive
					 enough to require professional architectural or engineering services, the
					 project sponsor must submit a written description to the department of health,
					 construction review, to determine if WAC
					 388-97-3440 applies.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3400, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › New Construction Documents › Section 388-97-3420 - Preliminary new construction documents

Current through Register Vol. 24-14, July 15, 2024
If preliminary documents and specifications are
						submitted, they must:
(1) Include a
					 narrative program with drawings. Copies of these documents must be sent to the
					 department of health, certificate of need and construction review, and to aging
					 and disability services administration. The narrative program must identify:
(a) How the design promotes a homelike
					 environment and facilitates resident-centered care and services;
(b) Functional space requirements;
(c) Staffing patterns;
(d) Each function to be performed;
(e) Types of equipment required;
					 and
(f) Services that will not be
					 provided directly, but will instead be provided through contract.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › New Construction Documents › Section 388-97-3440 - Final new construction documents

Current through Register Vol. 24-14, July 15, 2024
(1)
					 Construction must not start until at least two sets of final construction
					 documents drawn to scale with complete specifications have been submitted to
					 and approved by the department of health, construction review, in coordination
					 with aging and disability services administration and the department of health,
					 certificate of need.
(2) An
					 architect or engineer licensed by the state of Washington must prepare, stamp,
					 sign, and date the final construction documents.
(3) Construction documents that are changed
					 after approval by the department of health, construction review, require
					 resubmission before any construction on the proposed change is
					 started.
(4) The construction of
					 the facility must follow the final approved construction documents.
(5) These drawings and specifications must
					 show complete details to be furnished to contractors for construction of the
					 buildings, including:
(a) Site
					 plan;
(b) Drawings of each floor of
					 the building, including fixed equipment;
(c) Elevations, sections, and construction
					 details;
(d) Schedule of floor,
					 wall, and ceiling finishes, door and window sizes and types, and door finish
					 hardware;
(e) Mechanical and
					 electrical systems;
(f) Provision
					 for noise, dust, smoke, and draft control, fire protection, safety and comfort
					 of the residents if construction work takes place in or near occupied areas;
					 and
(g) Landscape plans and
					 vegetation planting schedules for dementia care units.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › New Construction Documents › Section 388-97-3460 - Preinstallation submissions for new construction

Current through Register Vol. 24-14, July 15, 2024
The department of health, construction review, must
						receive and approve preinstallation submissions prior to installation.
						Preinstallation submissions may include any or all of the following:
(1) Stamped shop drawings, hydraulic
					 calculations, and equipment information sheets for fire sprinkler
					 system(s);
(2) Shop drawings,
					 battery calculations, and equipment information sheets for fire detection and
					 alarm systems;
(3) Shop drawings
					 and equipment information sheets for a kitchen hood and duct automatic fire
					 extinguishing system;
(4) Drawings
					 and equipment information sheets for special egress control devices;
					 and
(5) Drawings and/or a finish
					 schedule denoting areas to be carpeted with:
(a) A coding system identifying type of
					 carpet in each area;
(b) A copy the
					 manufacturer's specifications for each type of carpet; and
(c) A copy of a testing laboratory report of
					 the radiant panel and smoke density tests for each type of carpet.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › New Construction Documents › Section 388-97-3480 - New construction timelines

Current through Register Vol. 24-14, July 15, 2024
(1)
					 Construction documents must be resubmitted for review as a new project
					 according to current requirements if construction:
(a) Has not started within one year from the
					 date of approval; or
(b) Is not
					 completed within two years from the date of approval.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › New Construction Documents › Section 388-97-3500 - Exemptions to new construction requirements

Current through Register Vol. 24-14, July 15, 2024
(1) The director of residential care
					 services, aging and disability services administration, may grant exemptions to
					 new construction requirements for:
(a)
					 Alterations when the applicant demonstrates the proposed alterations will serve
					 to correct deficiencies or will upgrade the nursing home in order to better
					 serve residents; and
(b)
					 Substitution of procedures, materials, or equipment for requirements specified
					 in this chapter when such procedures, materials, or equipment have been
					 demonstrated to the director's satisfaction to better serve
					 residents.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Codes and Standards in New Construction › Section 388-97-3520 - State building code in new construction

Current through Register Vol. 24-14, July 15, 2024
The nursing home must through its design, construction
						and necessary permits demonstrate compliance with the following codes and local
						jurisdiction standards. The nursing home that submitted plans for construction
						review after July 1, 2007 must also comply with the following International
						Building Codes and Standards:
(1) The
					 International Building Code, and International Building Code Standards, as
					 published by the International Conference of Building Officials as amended and
					 adopted by the Washington state building code council and published as chapter
					 51-50 WAC, or successor laws;
(2)
					 The International Mechanical Code, including chapter 22, Fuel Gas Piping,
					 Appendix B, as published by the International Conference of Building Officials
					 and the International Association of Plumbing and Mechanical Officials as
					 amended and adopted by the Washington state building code council and published
					 as chapter 51-52 WAC, or successor laws;
(3) The International Fire Code, and
					 International Fire Code Standards, as published by the International Conference
					 of Building Officials and the Western Fire Chiefs Association as amended and
					 adopted by the Washington state building code council and published as chapter
					 51-54 WAC, or successor laws;
(4)
					 The Uniform Plumbing Code, and Uniform Plumbing Code Standards, as published by
					 the International Association of Plumbing and Mechanical Officials, as amended
					 and adopted by the Washington state building code council and published as
					 chapters 51-56 and 51-57 WAC, or successor laws;
(5) The Washington state ventilation and
					 indoor air quality code, as adopted by the Washington state building code
					 council and filed as chapter 51-13 WAC, or successor laws; and
(6) The Washington state energy code, as
					 amended and adopted by the Washington state building code council and filed as
					 chapter 51-11 WAC, or successor laws.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3520, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Codes and Standards in New Construction › Section 388-97-3540 - Electrical codes and standards in new construction

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that all electrical wiring
						complies with state and local electrical codes including chapter 296-46B WAC
						and the National Electric Code of the National Fire Protection Association
						(NFPA-70) as adopted by the Washington state department of labor and
						industries.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3540, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Codes and Standards in New Construction › Section 388-97-3560 - Elevator codes in new construction

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that elevators are installed
						in accordance with chapter 296-96 WAC.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-3560, filed
						  9/24/08, effective 11/1/08.