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Physical Environment - Resident Room & Bath

 

Description of Federal Requirements
Comparison of State Requirements
Table Comparing States

Complete Transcript of State Requirements on Physical Environment - Resident Room and Bath (PDF)

Federal Regulations & Related F-tags for 483.15 Applicable Federal Regulation
(d) Resident Room | F257, F457-F462
 
483.70 Physical Environment
483.15 Quality of Life

Description of Federal Requirements    (TOP)    (NEXT)

The Federal Regulations on Physical Environment (483.70) deals with an assortment of topics related to life safety from fire, required space and equipment, minimal standards for resident rooms and toilet facilities, resident call system, space designated for resident dining and activities and other environment conditions.

Part (d) pertains to resident rooms and requires that resident rooms be designed and equipped for adequate nursing care, comfort and privacy.

Section (1) requires the bedrooms to: accommodate no more than four residents; measure at least 80 sq. feet per resident in multiple bed rooms and 100 sq. feet in single rooms; have direct access to exit corridor; be designed or equipped to assure full visual privacy for each resident; have ceiling suspended curtains, which extend around the bed in facilities certified after March 31, 1992; have at least one window to the outside; and have a floor at or above grade level.

Section (2) requires the resident be provided with: a separate bed of proper size and height; a clean, comfortable mattress; bedding appropriate to the weather and climate; and functional furniture appropriate to the resident’s needs, individual closet space with accessible clothes racks and shelves.

Section (3) provides for variations to these requirements in individual cases when the facility demonstrates in writing that the variations are in accordance with the special needs of the residents and will not adversely affect health and safety.

Part (e) pertains to toilet facilities and only requires that “each resident room must be equipped with or located near toilet and bathing facilities.”

Part (f) pertains to resident call system and requires the nurse’s station be equipped to receive resident calls from resident rooms and toilet and bathing facilities.

Part (h) pertains to other environmental conditions and requires the facility to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public that: ensures water is available when there is a loss of normal water supply; that there is outside ventilation by means of windows or mechanical equipment; handrails are firmly secured on each side of the corridor; and there is an effective pest control programs and the facility is free of pests and rodents.

Comparison of State Requirements    (TOP)    (NEXT)

Resident Bedroom    (TOP)    (NEXT)

Some states address the location of the resident room. For example, Arizona and Hawaii require that bedrooms are accessible without passing through another resident's room and that rooms do not open into food preparation, storage, or service areas. Arkansas requires that rooms for non-ambulatory residents not be located below ground level. Iowa requires that no resident room may be more than 150 feet from an exit. Nebraska stipulates that rooms cannot be located in detached buildings, such as a garage, shed, or storage area. Maximum distance to nursing stations varies across states. In Kentucky, no patient room shall be located more than 120 feet from a nurses' station. Minnesota and Missouri require that no patient room be more than 140 feet from the nurses' station. Size of bedrooms is also an important theme. For example, Arkansas requires that single-resident rooms be no smaller than 100 square feet, while multiple-resident rooms have at least 72 square feet per resident.

Connecticut requires that the minimum dimensions of bedrooms shall not be less than 11 feet. Louisiana requires a ceiling height of at least seven feet. Montana requires that all bedrooms have walls that extend from the floor to the ceiling. Facilities in Oregon and newly constructed facilities in Nebraska must have at least 120 square feet for single bedrooms and 100 square feet per bed for double-occupancy rooms. In newly constructed facilities in South Dakota, single bedrooms must have at least 120 square feet and double rooms must have 200 square feet. Many states also provide regulations about the maximum number of beds per room. In Connecticut, no more than two beds can be in any bedroom. In new construction in Florida, no more than two residents may live in one room. In Oklahoma, up to four residents may reside in one room. Similarly, in Idaho, up to four residents may be housed in one room, but in new construction eighty percent of beds must be in single or double-occupancy rooms. Georgia requires that at least two rooms for every 50 be single occupancy rooms. In Vermont, those residents residing in rooms with three or four beds shall be offered vacant beds in single or double-occupancy rooms at least annually. In Rhode Island, at least five percent of bedrooms must be single-occupancy with private toilet and bathing facilities. South Carolina allows for "alternative bedding arrangements" with the approval of a "physician or other legally authorized healthcare provider."

States also vary in their approach to housing couples. Hawaii, Maryland, and Idaho regulate that all multi-occupancy bedrooms must be occupied by residents of the same sex, except for married residents. New Mexico states that exceptions to same-sex bedrooms can be made in the case of residents who are "married, related, or are consenting adults." Illinois requires double beds for married couples, provided there are no medical contraindications. And, Ohio also allows for the provision of a double-bed in the case of married or consenting adults, unless there is a medical contraindication. Regulations about bed placement vary from state to state. For example, Maryland requires that all beds be at least 18 inches from walls or heating units. In newly constructed facilities in Massachusetts, beds must be at least three feet from each other and from windows or radiators.

In Oregon, adjacent beds must be at least four feet from each other, with at least three feet six inches at the foot of each bed. In a rare reference to individual choice for room arrangement, Oregon, effective 1992, beds "may be rearranged to satisfy the needs and desires of individual residents."

Few states choose to address general room atmosphere. A couple of note-worthy exceptions are: the District of Columbia, which regulates that the room must provide a "home-like atmosphere" and Massachusetts, which requires that rooms be cheerfully decorated. Comfortable furniture is a common theme. In Arkansas, a comfortable chair shall be provided for each licensed bed and be available at the bedside unless contraindicated by the patient's condition. Indiana requires a "cushioned, comfortable" chair. Florida specifies that beds should be at least three feet, six inches wide and eight feet long. Georgia requires that mattresses be at least four inches thick, while Louisiana requires that mattresses be at least five inches thick. Texas requires that all beds have a sturdy headboard. Illinois requires that each resident be provided one "clean, comfortable" pillow. Nevada simply states that furniture must be appropriate for residents' needs. New Jersey requires that a comfortable chair be available for use by both the resident and the resident's visitors. New York requires chairs for "visitors and socialization." Washington requires that comfortable chairs are provided for residents and visitors that provide "proper body alignment and support."

Some states include regulations stipulating whether or not a resident might use his or her own belongings. Kentucky allows each resident to have his or her own television and radio, provided that it does not disturb other residents. New Hampshire states that a "resident may use his or her own personal possessions provided they do not pose a risk to the resident or others." Ohio regulates that residents may refuse the furniture provided by the home in lieu of using their own. South Carolina states that, with the exception of furniture, a resident may bring personal items from home, such as vases, wall pictures, or paintings. Texas goes on to regulate that, "residents must be permitted and encouraged to have personal possessions in their rooms that do not interfere with their care, treatment, or well-being, or that of other residents."

Linen and bedding guidelines are quite specific in some states, sometimes to the point of codifying the obvious. In Arkansas, for example, a minimum of 4 clean sheets and 3 pillowcases shall be provided for each bed. And, the blankets shall be individually assigned to patients and not passed indiscriminately to patients without first being laundered. Colorado requires 3 complete sets of linens per resident bed. Delaware requires that mattresses be covered with a non-porous covering. In Georgia, the home shall provide all linens and blankets essential to the treatment and comfort of patients. Privacy screens generally follow Federal requirements although in Iowa, portable screens are not acceptable. In Missouri, either portable or permanently affixed screens or curtains shall be available whereas in New Mexico an equivalent divider is acceptable. In newly constructed facilities in Mississippi, cubicle curtains covering three sides of the bed are required in all multi-bed rooms. States differ in their approach to electronics and technology in resident rooms. Generally extension cords are prohibited, which could cause an issue for convenience of residents in older facilities with few wall outlets who want to use a variety of electrical appliances. Some allow for extension cords if installed by the facility. In newly constructed facilities in Washington and the District of Columbia, the nursing home must provide a telephone jack in each room. In West Virginia, when electric blankets are used, they shall be UL approved and checked periodically by the nursing home's staff for safety. The preceding narrative includes only illustrative examples of the prolific requirements for resident rooms and does not address Life Safety Code issues.

Storage    (TOP)    (NEXT)

Most states have additional requirements for storage.  For example, Arizona requires that all residents have a closet with clothing racks and shelves. California requires that each patient room shall be provided with a closet or locker space for clothing, toilet articles and other personal belongs. Kansas requires five square feet of closet space for each bed. North Carolina requires that each resident be provided with a closet or wardrobe with at least 36 cubic feet of storage space, at least half of which must be for hanging clothes. Utah requires a closet with a minimum of 22 inches deep by 36 inches wide with a shelf and rod. Washington requires the rod be adjustable to meet the needs of the resident. Wisconsin requires space of not less than 15 inches wide by 18 inches deep by five feet in height for each resident bed. In Nebraska each bedroom must contain at least 45 cubic feet of enclosed storage volume per resident while North Carolina requires a minimum of 36 cubic feet with at least half for hanging clothes.

Accessibility of closet space to residents is less frequently addressed in state rules.  Indiana addresses accessibility, requiring a closet at least 2’ wide and 2’ deep equipped with an easily opened door and a closet rod at least 18” long of adjustable height to provide access by resident in wheelchairs. The closet should be tall enough that clothing does not drag on floor and to provide air circulation.  Oklahoma requires an adjustable shelf be provided. Washington requires the rod be adjustable to meet the needs of the resident. West Virginia requires “reasonable closet and drawer space” with shelves and drawers “positioned at a height that accommodates the needs of the resident.”

Doors and Locking    (TOP)    (NEXT)

Doors and locks in resident rooms are addressed by several states. Alabama requires that bedroom doors shall not be equipped with hardware that will permit residents to lock themselves within the rooms and requires that doors open into the bedroom. California requires that patient rooms shall not be kept locked when occupied except in rooms approved by the Department for seclusion of psychiatric patients. Maryland requires that if resident closets lock, a duplicate or master key shall be kept in the administrator’s office. In Minnesota, a nursing home must develop a written policy regarding the use of locks on bedroom doors. The policy must address whether or not doors can be locked while the resident is in the room. In Pennsylvania, doors into rooms used by residents may not be locked from the outside when the resident is in the room and doors must swing into the bedroom. Cross-corridor doors in South Dakota must have vision panels.  In Wisconsin, no lock shall be installed on the door of a resident's room unless: the lock is operable from inside the room with a simple one-hand, one-motion operation without the use of a key unless the resident is confined in accordance with s. HFS 132.33.

Texas has the most comprehensive regulations on locks, stating that locks on bedroom doors are permitted when they meet definite patient needs, including the following situations: married couples whose rights of privacy could be infringed upon unless bedroom door locks are permitted; residents for whom the attending physician wants bedroom door locks to enhance their sense of security; and residents for whom restraint through confinements to their own rooms is necessary for their own and/or other persons’ safety. Bedroom doors which are locked for resident restraining purposes must be Dutch-doors with only the lower section locked.

Windows    (TOP)    (NEXT)

Some states include additional specification such as: clear space between the window and any structure outside; size of window; screening; height of window sills; view from sitting position; window coverings; and safety concerns. Interestingly for quality of life issues, some states are specific about the kind of view that should be afforded from the windows. Some examples include: In Alabama there shall be a minimum of 20 feet of clear space between bedroom window and any structure outside the window and new construction must permit an exterior view from bedroom windows. Connecticut and the District of Columbia require that window sills may be no higher than three feet above the finished floor. Florida (new construction) requires that windows make up eight percent of total square footage, while Georgia requires that windows make up one-tenth of the floor area. Louisiana requires that windows be equipped with guard rails. Maryland requires that windows be at least 10 square feet per bed and that at least half of the window can be opened. New York specifies that windows must be able to be opened without tools.  Nebraska requires an unobstructed view of at least 10 feet.

Bathroom    (TOP)    (NEXT)

Individual states go well beyond the Federal regulations, for example, addressing accessibility issues, the number of residents who may share a toilet room, distance from residents’ rooms to the toilet, lavatories in bedrooms, and even requirements for toilet paper hangers. More than other categories, state regulations for toilet rooms state regulations that should be commonsense such as hot and cold water required, and toilet paper in a suitable dispenser must be provided within reach of each toilet. Increased requirements for toilet rooms are often a focus of new construction regulations, most often following stipulations of the Americans With Disability Act Accessibility Guidelines. Some states, including California, Minnesota, and Florida, include additional regulations about the placement of grab bars in toilet and hand-washing facilities. Minnesota requires that toilet flush valves in newly constructed facilities have quiet operating types.  Mississippi requires that rooms containing only a toilet be at least three feet by six feet in size. North Dakota requires that newly constructed facilities have toilet rooms which will allow enough room for two staff members to assist a resident.

The ratio of toilets per bed varies between states. In the District of Columbia and Kentucky, two rooms, but not more than four residents, may share one toilet. In Florida, one toilet may serve a maximum of two residents and two resident rooms. In Georgia, Minnesota (existing facilities), and Maryland, one toilet may serve up to eight residents. Missouri requires that separate toilet rooms be provided for males and females. Where urinals are provided, a facility must provide one toilet and one urinal for every 15 males. 
Lavatories (i.e. sinks) can be located either in the general space of resident rooms, in their toilet rooms, or both. Maine requires that lavatories located in resident bedrooms be provided with “total visual privacy” if used for personal care. Maryland requires one lavatory for every four beds. Minnesota requires one sink for every eight beds. In West Virginia each resident shall have individual towel bars or an equivalent. In semi-private rooms towel bars shall be located to encourage individual use. In Montana, New Mexico, Texas, and Wisconsin, clean towels and washcloths shall be provided to each resident as needed.
Most states specify mirrors above the lavatory, but rules typically do not specify the accessibility to the mirror for residents involved in their own grooming and checking of their appearance. 

In several states, including Florida, mirrors should be arranged for convenient use by resident in wheelchairs as well as in a standing position.  In Iowa, the bottom of the mirror shall be no more than 40 inches above the floor. Maine requires that each bedroom be equipped with a mirror. In Oregon, “mirrors are not required in rooms exclusively serving residents whose care plans indicate mirrors are contraindicated.”

In Minnesota new construction toilet room requirements are unusually specific. Folding doors and pocket doors are prohibited. No basic interior room dimension may be less than 42 inches.  The toilet must be mounted at a height of not less than 17 inches or more than 19 inches above the floors, measured to the top of the seat. The bowl must be elongated with an open-front seat. The paper holder must be securely anchored on the side wall near the toilet, six inches above the seat, and 6 to 12 inches in front of the seat with both dimensions measured to the center of the holder. A towel bar must be provided at a height of 42 to 44 inches above the floor. It must be a horizontal grab bar. A shelf large enough to accommodate a resident’s personal toilet accessories must be provided unless space is provided by a suitable sink or a counter.

New Construction    (TOP)    (NEXT)

Fewer than half of all states include details about new construction of resident bedroom and bathroom areas in their regulations. Those that do attempt to improve upon existing regulations. The following paragraphs summarize the most common themes.

New Construction - Bedroom    (TOP)    (NEXT)

Many states use new construction as an opportunity to reduce the number of beds per room. The District of Columbia, Nebraska, North Dakota, Ohio, South Dakota, Washington, and Florida require that all new facilities have no more than two beds per resident room. Meanwhile, Texas requires that new facilities have no more than four beds per room, with no more than twenty-five percent of rooms holding more than two beds. Idaho requires that newly constructed facilities have no more than twenty percent of their resident bedrooms be for three or more residents, with a maximum of four residents per room. New York requires that at least ten percent of rooms in new facilities be single occupancy.

Vermont includes a paragraph on reduction or downsizing of facilities, stating that, "Proposals for new construction, expansion, renovation or substantial rehabilitation of a facility requiring Certificate of Need approval pursuant to 18 V.S.A. §9434 will not be approved by the licensing agency unless the construction proposal includes a plan for elimination or conversion of all three- and four-bed rooms to rooms which accommodate no more than two persons."

Maryland, Mississippi, and Maine include requirements about privacy curtains specific to newly constructed facilities. Maine requires that privacy curtains be provided that are suspended from the ceiling and that extend around the bed. Maryland requires that "cubicle curtains and tracks shall be provided in multiple occupancy bedrooms between beds to insure privacy of patients when necessary." Mississippi requires that privacy curtains be able to enclose the bed from three sides.

New Construction - Storage    (TOP)    (NEXT)

Arkansas requires that all newly constructed facilities provide each resident room with a "built-in" closet for storage of clothing and "other possessions." Maine goes a step further, requiring that each individual resident be provided with a "separate and individual closet in the bedroom, with clothes racks and shelves accessible to the resident." Massachusetts requires closet space for each resident in new construction, but stipulates that it must only be in the resident's room "when feasible."

New Construction - Doors & Locking    (TOP)    (NEXT)

Minnesota has an extensive section of regulations on new construction for resident room and bath, which includes details on doors and locking. Unlike many states, Minnesota chooses to leave some decisions about locking to the discretion of the facility, stating, "A nursing home must develop a written policy regarding the use of locks on bedroom doors. The policy must address whether or not doors can be locked while the resident is in the room."

New Construction - Windows    (TOP)    (NEXT)

Alabama requires that, "A peripheral view of the exterior shall be provided from newly constructed bedrooms." Florida goes further, requiring that each resident in a newly constructed room "shall have an exterior window(s) to the outside that is physically accessible to each resident at all times and visible from the resident's bed except when a cubicle curtain is closed."

New Construction - Bathroom    (TOP)    (NEXT)

Nebraska, Washington, and Ohio require that all newly constructed facilities provide toilet rooms adjacent to each resident bedroom. North Dakota requires that toilet rooms in new facilities be large enough to allow two staff members to assist a resident as needed. Maryland requires that newly constructed bedrooms include a lavatory with hot and cold running water unless the bedroom includes a private toilet or bathroom. Idaho and Oklahoma require that in newly constructed facilities, "mirror(s) shall be arranged for convenient use by patients/residents in wheelchairs, as well as by patients/residents in standing position."

Table Comparing States   (TOP)

Note: If the States in this table are not hyper-linked, their provisions do not appear to address the topic, and therefore, do not alter the Federal Regulatory scope.  The Table summarizes content on Physical Environment - Resident Room and Bath by State (with a link to each State's specific language).  Link to a downloadable PDF document containing all State requirements on Physical Environment - Resident Room and Bath at the bottom of the Table.

483.70 Physical Environment

Resident Room & Bath
(Note: Certain sections of 483.15, Quality of Life may also apply.)
State Goes beyond Federal Regulations? Subjects Addressed: How State Differs From or Expands On Federal Regulations
Alabama Yes Minimum Area Between Window and Outside Structure; Exterior View (New Construction); Provision of Night Lights and Toggle Switches; Minimum Ceiling Height; Prevention of Odors; No Locks; Direction of Door Opening; Exterior View
Alaska Yes Presence of Closet, Supplies, and Equipment; Curtains for Each Bed; Variances in Square Footage for Facilities Built Before 1995
Arizona Yes Beds per Room (Date-Specific); Nurse Call System; Location of Resident Rooms; Privacy Curtains; Storage; Window with Exterior View
Arkansas Yes Beds per Room; Minimum Square Feet per Bed; Handwashing in Each Room; Hot and Cold Water; Rooms Below Ground Level; Minimum Window Size; Reasonable Outside View; Storage; Closet Space (New Construction); Minimum Furnishings Specified; Flame-Retardant Window Coverings; Minimum Linens Specified; Blankets Assigned; Door Signage; Direction of Door Opening; Closet Space; Minimum Furnishings Specified; Beds per Room; Minimum Linens Specified; Blankets Assigned
California Yes Patient Capacity; Numbered/Lettered Patient Room ID; No Locks Except Seclusion; Ambulatory Patient Rooms Identified; Bedding and Linens; Minimum Furnishings Specified; Grab Bars in Toilet Room; Accessibility of Toilet and Handwashing Facilities
Colorado Yes Linen Supply Specified
Connecticut Yes Minimum Floor Area; Beds per Room; Maximum Room Capacity; Minimum Furnishings Specified; Toilet Rooms per Resident; Doors; Location of Rooms; Windows; Ceiling Height
Delaware Yes Minimum Furnishings Specified; Access to Toilets and Handwashing Sinks; Storage
District of Columbia Yes Eye-Level Mirror; Minimum Furniture Specified; Window Height; Room Location; Privacy Curtains; Home-Like Atmosphere; Square Footage; Telephone Jacks; Toilet Facilities per Resident; Beds per Room; Telephone Jacks
Florida Yes Square Footage; Minimum Furnishings Specified; Bed Size Minimum; Institutional Design Model; Household Design Model; Bed Spacing; Windows; Access to Toilet and Handwashing Rooms; Room Capacity; Storage; Door Functioning; Grab Bars; Square Footage; Windows; Beds per Room
Georgia Yes Bed Size and Thickness Minimum; Linens and Equipment to be Provided; Minimum Furnishings and Personal Care Items Specified; Single Occupancy Rooms; Bedrails; Mirror; Minimum Room Size; Space Between Beds; Flame Resistant Curtains; No Public or Staff Use of Resident Water Closets; Windows; Privacy Curtains; Toilets per Resident
Hawaii Yes All Occupants of Same Room Same Sex except if Spouse; Location of Room
Idaho Yes Patient/Resident Accommodations; Beds per Room; Room Location; Windows; Same Sex House in Rooms except for Married Couples; Grab Bars; Accessibility of Toilet and Handwashing Facilities; Minimum Furnishings; Ceiling Height; Beds per Room; Single-Occupancy Rooms; Toilet Room; Storage; Windows; Mirrors; Bedroom Location
Illinois Yes Bed Size Minimum; Double Bed for Married Couples; Window Coverings; Minimum Furnishings Specified; Storage; Privacy Curtains
Indiana Yes Minimum Room Size (Date-Specific); Room Capacity (Date-Specific); Minimum Furnishings Specified; Storage; Toilets per Resident; Personal Care Items
Iowa Yes Minimum Room Size; Linen Fixtures/Storage; Lighting and Ventilation; Beds per Room; Space Between Beds/Location of Beds; In-Room Lavatory; Room Location; Door Width; Privacy; Mirrors; Storage
Kansas Yes Minimum Room Size (Date-Specific); Room Capacity (Date-Specific); Space Between Beds; Room Location; Privacy Curtains; Minimum Furnishings Specified; Flame-Retardant Window Coverings; Storage; Toilet Room Capacity; Toilet Room Size; Grab Bars
Kentucky Yes Room Location; Room Capacity; Minimum Bed Size; Minimum Linens Specified; Minimum Furnishings Specified; Mirrors; Bed Spacing; Grab Bars; Windows; Toilet Capacity; Lavatories
Louisiana Yes Floor, Walls and Ceilings in Good Repair; Minimum Room Size (Date-Specific), Minimum Ceiling Height; Space Between Beds; Room Capacity; Minimum Linens Specified; Noncombustible Privacy Curtains; Minimum Square Feet per Resident; Toilet Room Capacity (Date-Specific); Lavatory Capacity (Date-Specific)
Maine Yes Patient Room ID; Minimum Room Size (Date-Specific); Minimum Ceiling Height; Beds per Room; Room Location; Mirror; Handwashing Facilities; Minimum Bed Size; Minimum Linens Specified; Windows; Minimum Furnishings Specified; Privacy Curtains; Storage; Storage; Square Feet per Bed; Ceiling Suspended Curtains
Maryland Yes Beds per Room; Bed Size Minimum; Bed Spacing; Minimum Furnishings Specified; In-Room Lavatory; Hot and Cold Water; Toilet and Lavatory Capacity; Windows; Storage; Privacy Curtain; Bed Spacing; Lavatory
Massachusetts Yes Cheerful; Free from Unpleasant Odors, Sights and Noises; Bedroom/Bed ID; Rooms Decorated; Fire Resistant and Flame Proof Draperies and Decorations; Bed Spacing; Room Size; Toilet Capacity; Storage; Windows; Minimum Furnishings and Personal Care Items Specified; Square Footage; Closet Space; Single Occupancy Rooms; Grade Level; Beds per Room
Michigan No No state-specific environmental regulations.
Minnesota Yes Minimum Furnishings Specified; Beds per Room; Bedroom/Toilet Ratio (New Construction); Minimum Room Size; Windows; Mirrors; Room Labeling; Door Locks; Storage; Grab  Bars; Bedroom Design; Windows; Doors and Locking; Closet and Storage; Toilet Room; Accessibility; Room Labeling; Receptacles; Night Lights
Mississippi Yes No Unpleasant Odors or Noise; Minimum Room Size; Minimum Furnishings Specified; Room Location; Beds per Room; Windows; Handrails; Toilet Room Size and Cleanliness; Privacy Curtains
Missouri Yes Outside Grade Line Limitations; Minimum Room Size (Date-Specific); Beds per Room; Minimum Bed Size; Minimum Linens and Furnishings Specified; Toilet and Lavatory Capacity; Windows; Privacy Curtains; Hardware; Lighting; Receptacles; Grade Level; Room Labeling; Toilet Facilities; Furnishings
Montana Yes Doors; Linens; Access to Toilet Room; Beds per Room; Window; Floor-to-Ceiling Walls; Room Size
Nebraska Yes Rooms Not Located in Detached Buildings; Minimum Window Size; Minimum Storage Space; Nursing Station Distance; Privacy Curtains; Beds per Room; Minimum Room Size (Existing vs. New Construction); Toilet and Sink Capacity; Toilet Room; Doors; Floor Area
Nevada Yes Appropriate Bedding and Linens; Appropriate Furniture
New Hampshire Yes Minimum Room Size; Minimum Furnishings, Linens and Personal Hygiene Items; Room Capacity (Date-Specific); Doors and Curtains; Windows; Use of Own Possessions
New Jersey Yes Minimum Linens and Furnishings; Personal Care Supplies; Privacy Curtain
New Mexico Yes Minimum Bed Size; Minimum Linens Specified; Minimum Furnishings Specified; Same Sex in Rooms Unless Married, Related, or Consenting Adults; Minimum Room Size; Space Between Beds; Beds per Room; Flame-Retardant or Flameproof Privacy Curtains; Ceiling Height; Proximity to Toilet and Bathing Facilities; Grab Bars; Doors; Storage
New York Yes Rooms to be Designed and Equipped for Adequate Nursing Care, Comfort, and Privacy; Room Capacity (Date-Specific); Privacy Curtains; Room Location; Minimum Furnishings (Date-Specific); Toilet Room Access and Capacity (Date-Specific); Mirrors; Windows; Number of Residents; Sub-Units; Single Occupancy; Closet Space; Windows
North Carolina Yes Minimum Room Size; Storage; Flame Resistant Privacy Screens; Access to Toilet Room; Toilet Room Capacity; Handgrips
North Dakota Yes Minimum Room Size; Natural Light; Window Size/Glazing Material; Beds per Room (Existing and New Construction); Toilet Rooms; Storage; Beds per Room; Toilet Room Size
Ohio Yes Minimum Bed Size (Single), Minimum Bed Size for Married Couple, Other Consenting Adults; Linens; Minimum Lighting, Furnishings; Resident May Provide Own; Minimum Room Size (Date-Specific); Compliance Timeline; Beds per Room (Date-Specific); Toilet Room Capacity; Grab Bars; Toilet Room; Beds per Room; Privacy
Oklahoma Yes Beds per Room; Minimum Room Size; Lavatory in Room; Wardrobe, Locker or Closet; Proximity to Soiled Workroom/Soiled Holding Room; Privacy; Doors; Windows; Grab Bars; Mirrors; Doors; Windows; Grab Bars; Hand-washing; Mirrors
Oregon Yes Beds per Room; Minimum Room Size; Space Between Beds; Space for Wheelchair Movement; Minimum Furnishings Specified; Closet Size (Date-Specific); Mirrors; Access to Toilet Rooms and Lavatories; Lockable Storage; Room Size
Pennsylvania Yes Minimum Room Size; Protection from Heat Sources, etc.; Room Capacity; Room Location; Minimum Furnishings; Toilet Room and Lavatory Capacity; Doors and Locking
Rhode Island Yes Windows; Minimum Room Size; Fire Resistive Screens/Curtains; Minimum Furnishings Specified; Seasonally Appropriate Bedding; Adequate Lighting; Privacy; Grab Bars; Access to Toilet Rooms; Toilet Room Capacity (Date-Specific); Square Footage
South Carolina Yes Safety Features of Resident Beds; Minimum Furnishings; Flame-Retardant Curtains; Window Size and Height; Room Location; Doors; Storage; Toilet Rooms; Handwashing Sinks; Room Size; Option to Bring Personal Items; Privacy Curtains
South Dakota Yes Beds per Room; Minimum Room Size; Bed Spacing; Window Height; Call Button; Nursing Station Distance; Storage; Doors; Grab Bars; Handwashing Facilities; Beds per Room; Square Footage; Privacy Curtains; Windows; Toilet Room; Closet; Doors
Tennessee No No state-specific environmental regulations.
Texas Yes Minimum Beds per Room; Minimum Bed Size; Minimum Furnishings Specified; Minimum Closet Space; Noncombustible Wastebasket; Space Between Beds; Locks Conditionally Permitted; Master Keys; Dutch Doors on Restraining Rooms; New Construction Requirements; Grab Bars; Toilet Room and Lavatory Access and Capacity; Storage; Linens; Personal Belongings; Beds per Room; Square Footage; Window; Lighting; Receptacles; Toilet Room; Privacy Curtains; Hand-washing; Grab Bars
Utah Yes Minimum Single-Bed Rooms and Accommodations; Windows; Storage; Toilet Room and Lavatory Accessibility; Grab Bars; Lavatory
Vermont Yes Beds per Room; Minimum Room Size (Date-Specific); Seasonally Appropriate Bedding; Variances Considered; Annual Effort to Transfer from Multi-Resident Rooms to Semi-Private or Private; New Construction Requirements; Private Space for Visits; Downsizing; Beds per Room; Construction
Virginia No No state-specific environmental regulations.
Washington Yes New Construction (Windows, Distance Between Buildings, Minimum Room Size); Beds per Room; Minimum Room Size;; Minimum Linens, Furnishings, and Lighting Specified; Call Signal Device; Flame-Retardant Curtains; Phone Jack for Each Bed; Handwashing Sink; Privacy Curtains; Locks on Toilet Rooms; Access to Toilets; Storage; Windows; Grade Level; Beds per Room; Square Footage; Closet; Privacy Curtains; Toilet Room; Hardware; Grab Bars; Hand-washing
West Virginia Yes Minimum Furnishings and Linens Specified; Window Coverings; Electric Blankets; Increase in Bed Capacity; Increase in Bed Capacity
Wisconsin Yes Minimum Furnishings, Linens and Equipment Specified; Minimum Room Size; Beds per Room; Flameproof Curtains; Room Identification; Room Location; Windows; Bed Arrangement; Storage; Privacy Curtains; Toilet Room and Lavatory Access and Capacity
Wyoming No No state-specific environmental regulations.

Complete Transcript of State Requirements on Physical Environment - Resident Room and Bath    (TOP)