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Physical Environment - Nursing Units

 

Description of Federal Requirements
Comparison of State Requirements
Table Comparing States
Complete Transcript of State Requirements on Physical Environment - Nursing Units (PDF)

Federal Regulations & Related F-tags for 483.15 Applicable Federal Regulation
a) Life safety from fire | F-454
b) Emergency power | F-455
c) Space and equipment | F-456
d) Dispose of garbage | F-372
e) Adequate ventilation | F-467
f) Comfortable temperature | F-257
g) Comfortable sound levels | F-258
h) Comfortable light levels | F-256
i) Environment (Quality of Life 483.15) | F-252-F258
j) Toilet facilities | F-462
k) Resident call systeme | F-463
l) Dining and resident activities | F-464
m) Handrails on corridor walls | F-468
n) Other environmental conditions) | F-465-F-469
483.70 Physical Environment
483.15 Quality of Life

Description of Federal Requirements    (TOP)    (NEXT)

The Federal regulations do not directly address requirements for a nursing station other than to require the facility to provide sufficient space and equipment in dining, health services, recreation, and program areas to enable staff to provide residents with needed services as required by these standards and as identified in each resident's plan of care. Some state regulations for nursing units are very detailed and address the station as one component of the overall unit that would include station, clean utility room, medicine preparation room, soiled utility room, clean linen storage room, wheelchair and stretcher storage areas, janitor's closet, nourishment room, staff restroom and maximum distance allowed from residents' bedroom door. Texas requires an open or enclosed seating space must be provide within view of the main nurse station that will allow furniture or wheelchair parking that does not obstruct the corridor way of egress.

483.70 (f) Resident call system – The nurses' station must be equipped to receive resident calls through a communication system from:

483.70(f) (1) Resident rooms; and
483.70(f)(2) Toilet and bathing facilities. [NH Regs Plus Comment: The Federal regulations are not explicit on the various methods permitted to meet call system guidelines.]

483.70(e) Toilet facilities. Each resident room must be equipped with or located near toilet and bathing facilities.

Comparison of State Requirements    (TOP)    (NEXT)

NOTE:  The examples below may not list all States with similar language; always check your state for specifics.

Nurses' Station    (TOP)    (NEXT)

The maximum distance from residents' bedroom door to nursing station varies between states. In Arkansas, Georgia, Maine, and Pennsylvania, the required distance is 120 linear feet.  In Texas new construction the regulation states that corridor travel from the nursing station to the farthest resident room must assure prompt service to the resident. The normal travel for nursing efficiency is considered to be not over 85 feet and must not exceed 150 feet.

Minimum space requirements for nursing stations vary with Arkansas requiring 60 sq. feet per each 35 beds per unit. The maximum number of beds per unit is addressed in several states. For example, in Mississippi, Utah the maximum is 60 beds.

Visual control of corridors is addressed in several states. In Kansas the nurses' station shall be located so that the corridors outside the doors of resident rooms are visible from the nursing station. The facility may use television cameras and monitors to meet this requirement. Facility constructed before 1-15-77 shall not be required to comply with this requirement. In Texas, considerable attention is given to observing residents. The facility may use mechanical means, such as closed circuit television and mirrors to observe residents in the facility. Closed circuit television monitoring systems must meet the following criteria: the camera(s) must be placed to view the entire corridor length, without any blind spots, the camera(s) must be capable of providing recognizable images in minimum and maximum light levels for the complete viewing area; the monitors must be installed and be clearly visible to persons in the ns or auxiliary station who are assigned to the area monitored by the camera; the system must be supplied with emergency power, each camera must have its own separate monitor. Mirrors must meet the following criteria: The mounting height of the mirror must be no less than 6 feet and 8 inches from the floor to the bottom of the mirror; the mirror(s) must not extend more than 3 ½ inches from the face of the corridor wall, unless the bottom of the mirror is more than 7 feet and 6 inches above the floor; the mirror image must be clear enough that individuals can be recognized, in minimum and maximum light levels throughout the viewing area . The monitoring systems described in this section must not be used to deny privacy to staff or residents.

In Kansas, each facility constructed after 2-15-77 shall provide wheelchair parking space which shall be out of the path of normal traffic. The space shall not be included in determining the minimum required corridor width. In Pennsylvania, if a medication cart is used the cart may not be stored in the corridor. Illinois requires that, "office spaces, nurses' stations, treatment rooms, and other areas shall be satisfactorily furnished with desks, chairs, lamps, cabinets, benches, work tables, and other furnishings essential to the proper use of the area."

Specialized Care Units    (TOP)    (NEXT)

Some states have chosen to include regulations about care for specialized populations. These regulations include guidelines for the design of the unit and patient care within the unit. For example, Arkansas includes regulations on a specialized unit for an Alzheimer's Special Care Unit that includes specific guidelines on locking doors, caring for wandering patients, and providing appropriate furnishings. The regulations include the following provisos: "The seating shall consist of a ratio of one (1) gliding or rocking chair for every five (5) residents; Encourage and assist residents to decorate and furnish their rooms with: personal items and furnishings based on the resident's needs and preferences as documented by the ISP in the social history; and, Individually identify each resident's room based on the resident's cognitive level to assist residents in locating their rooms, and to permit them to differentiate their room from the rooms of other residents."

Maine regulates that Alzheimer's/Dementia Care Units be homelike: "The design and environment of a unit shall assist residents in their activities of daily living, enhance their quality of life, reduce tension, agitation and problem behaviors, and promote their safety." New York reserves the right to review dementia care unit designs on a case-by-case basis: "The department will review on a case-by-case basis the architectural designs and interior finishes which are required to implement special programs for residents with dementia." Tennessee includes these regulations for Alzheimer's Care Units: " Corridors or open spaces shall be designed to facilitate ambulation and activity, and shall have an unobstructed view from the central working or nurses' station" and "Meaningful wandering space shall be provided that encourages physical exercise and ensures that residents will not become frustrated upon reaching dead-ends."

Some states include regulations about body holding areas, for when a patient expires. Connecticut states, "The facility shall make available a room which will provide for the dignified holding of the body of the deceased person where it will not be exposed to the view of patients or visitors. The room so designated may be used for other purposes when not required for this purpose."

Resident Call System    (TOP)    (NEXT)

Kansas has an especially comprehensive set of regulations for call systems including criteria for a wireless system as follows: "Each facility may use a wireless system to meet the requirements of this regulation, if the system meets both of the following criteria: (i) when the resident call system is activated, an electronic device notifies direct care staff of the location at which the resident call system was activated. (ii) Each nurses' station is equipped with a system that registers and documents the location of an activated resident call system. The resident call system selected shall be designed to ensure that staff is notified promptly if a resident is in need of assistance. Service areas or rooms. The service areas or rooms required in this regulation shall be located in each nursing unit and shall be accessible directly from the general corridor without passage through an intervening room or area, except medication preparation rooms. A service area or room shall not serve more than one nursing unit, except as otherwise indicated. The service areas and rooms specified shall provide space and equipment as prescribed in this regulation."

Other variations from the federal largely concern where calls systems are placed, though some refer to the system characteristics.  Washington regulations require either a wired or wireless communication system. Washington also has a requirement that a signal device must be adapted to meet resident needs and, in the dementia unit, may be adapted for staff and family use. [NH Regs Plus Comment: No further detail is offered about what adaptation for staff and family use might mean. It might be of interest to see what, if any, adaptations for family use have occurred in Washington.]

Alabama requires an electrical nurse call system in existing facilities at the side of each bed, which will provide an initial audible and visual signal at the nurses' station until deactivated. After December 26, 1988 the requirement is added for a light over the door to the bedrooms on the corridor. On new call systems, additional visible signals shall be installed at corridor intersections or in main corridor area where rooms are recessed if patient room call lights are not visible from the nurses' station area.

Texas language specifies that the call cord for a communication system does not have to be accessible in all parts of the room but must be accessible to the resident. [NH Regs Plus Comment: One wonders how the two statements can be reconciled for residents who are able to utilize all parts of their rooms.] A visual signal at the nurses' station must indicate the room from which the call was placed with an audible signal of sufficient amplitude to be clearly heard by nursing staff. The amplitude or pitch of the audible signal must not be irritating to resident or visitors. [NH Regs Plus Comment: This is the only explicit reference we have found to minimizing the intrusive noise of call systems for the sake of residents and visitors.]

In Maine, the automatic call system shall be provided at each bed, resident toilet room, bathing room, shower room, beauty parlor and common resident's areas. In Iowa, after November 21, 1990, pull string call devices will not be acceptable. The call device shall be electrically operable from the bed or chair. In Missouri, a call system consisting of an electrical intercommunication system, a buzzer system or hand bell is required. [NHRegsPlus comment: the option of the low-tech hand bell is noteworthy.]

[NH Regs Plus Comment: Rules related to call systems most obviously have their genesis in patient safety. But systems that enable residents to readily call for attention can also enhance their quality of life by enabling them to seek assistance. In that sense a call system that functions in work areas for staff, such as linen rooms, is a vehicle, but the actual effects on quality of life would relate to the speed at which call systems are answered and whether residents are encouraged or discouraged to use them to exercise personal preferences unrelated to health needs. Finally, systems designed to minimize noise that carries through the facility should positively impact quality of life. If public address systems are also allowed for staff-to-staff communication, the advantages of a quiet call system are negated.]

Tub and Shower Room    (TOP)    (NEXT)

The toilet and bathing facilities in common unit spaces interact with the toilet and bathing provisions in residents' rooms to provide the environmental backdrop for the overall experience in using toilets and bathing facilities. Generally speaking, the toilets in or near the unit bathing areas are meant to be utilized in conjunction with bathing, whereas toilets in or adjacent to resident's rooms are meant to more specifically designated to a resident. In Delaware, there shall be a shower for every 20 residents.

A common elaboration in states is to specify the number of bathtubs or showers per resident bed. Occasionally, a regulation specifies tubs (Georgia, Maine, Oklahoma, Washington, and Pennsylvania), but most allow bathtubs or showers to count interchangeably.  Washington also requires one roll-in shower per facility. As shown below the specified minimums range from 1 to 10 residents in Idaho to 1-30 residents in Nebraska and Washington.

In Idaho (new construction), the facility shall provide one bathtub or shower for each 10 resident beds. Connecticut requires the ratio of one tub or one shower for each eight residents. Maryland, Rhode Island and South Carolina bathtubs or showers shall be provided at the rate of 1 for each 12 beds. Hawaii requires one shower or tub for every 14 beds.  Massachusetts, Maine, Kentucky, Louisiana, Pennsylvania, and Georgia require one tub or shower per 15 beds.  

In Delaware, New Mexico, Wisconsin, and the District of Columbia, there shall be a shower for every 20 residents. Iowa requires one bathing unit for each wing on each floor with a minimum of one unit for each 20 residents or part of 20. [NH Regs Plus Comment: This requirement takes into account the location of the bathing units in relation to resident beds, requiring a higher ratio if the facility is divided into smaller wings.]

In Oklahoma, the Department may require more than one tub or shower for each 20 beds depending on the design of the facility and on the needs of any special population being served. [NH Regs Plus Comment: This stipulation seems hard to interpret. The first part would seem to take into account unit arrangements and distances as in the Iowa language, and the second part of it would be subject to changing needs of the population unless the facility were dedicated to a particular population.]

In Oregon, the ratio is 1 bathtub or shower per 25 beds. Nebraska and Washington requires one bathing fixture per 30 licensed beds.  

Indiana requires bathing facilities be provided as follows: 3-22 residents to 1 bathtub or shower, 23-37 residents to 2 tubs or showers, 38-52 residents to 3 tubs or showers, 53-67 residents to 4, 68-82 residents to 5, 83-97 residents to 6 bathtubs or showers. Portable bathing units may be substituted for 1 or more of the fixtures with prior approval of the division. [NH Regs Plus Comment: Portable side-entering or easy-entry tubs are a good solution for privacy in bathing in facilities that happen to have over-sized resident bathrooms where the tub can be wheeled in and connected to a sink. The usefulness of portable tubs in general unit bathing areas is less clear.]

Other state specifications relate to the size of the tub or shower room, as well as the nature of some of the fixtures or other features. Most of the requirements relate to safety of the resident or safety and comfort of the individual assisting the resident with bathing. Some of the requirements also show sensitivity to privacy and comfort concerns, including specification about dressing areas, location of toilets in a way that the resident need not exit the bathing room, and provision of safe heating.

Connecticut requires rooms to be at least four square feet, not including curbs. Delaware requires shower stall to be at least 4 feet square, without curbs, and designed to permit use by a wheelchair patient. Iowa requires at least a 4 feet by 5 feet shower with grab bars that have a diameter of 1 ¼ to 1 ½ inches and have a 1 ½ inch clearance to walls. Georgia requires at least one bathtub be accessible from three sides. In Louisiana lights must be controlled by wall switches, which must be so placed that they cannot be reached from the bathtub, whirlpool, or shower.

In Maine, bathtubs, shower stalls, and lavatories must not be used for other purposes. [NH Regs Plus Comment: In a 40-facility study done by University of Minnesota in 1999, we found that tub rooms were indeed used for other purposes, such as storage of cleaning supplies, storage of soda pop, and even for placement of kitty litter. Texas, described below, specifies amid a range of other kinds of requirements, that cleaning supplies must not be stored in the bathing room and that the rooms must not be used for laundering soiled linens.]

In Minnesota, after 11-12-96, the door or doors to the bathing area must have privacy door locks, central showers must not be less that 48 inches by 48 inches or 54 inches by 42 inches with the long side open, without a curb, and with a 32 inches high splash protection. The shower area must have controls located near the splash protection for easy reach by both resident and attendant. A flexible hose hand-shower must be provided. The tub must allow a minimum of 4 feet clearance around the working areas of the tub and a pedestal must include toe space.

Pennsylvania requires grab bars 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. A dressing area shall be provided immediately adjacent to the shower stall and bathtub. In the dressing area, there shall be provision for keeping clothes dry while bathing. The facility shall ensure that water for baths and showers is at a safe and comfortable temperature before the resident is bathed.

In Texas, bathing areas must be provided with safe heating, be kept in clean and in proper working order and not be used for laundering or for storage of soiled materials or for the cleaning of mops or brooms. As of January 1, 2000, Oregon requires at least one therapeutic whirlpool-type tub for every 60 beds.

New Construction    (TOP)    (NEXT)

New Construction - Nurses' Station    (TOP)    (NEXT)

Massachusetts requires that each unit have a nurses' station, though the department may grant exceptions to this requirement. All newly constructed nurses' stations must "be provided with a desk or counter, chair, sufficient cabinets and an acceptable record holder or chart rack." Minnesota requires that in new facilities, "private space must be provided for charting, storage of charts and supplies, and medicine preparation.

For newly constructed facilities in Arkansas, "nurses' station shall be provided and so designed that they contain a minimum of 60 square feet per each 35 bed patient unit, and are not more than 120 linear feet from each patient room." Texas requires that all nurses' stations must provide a view to resident corridors. Its regulations go on to clarify that, "A direct view of resident corridors is acceptable if a person can see down the corridors from a point within 24 inches of the outside of the nurse station counter or wall."

Florida distinguishes between two models of nursing homes: Institutional Design and Household Model for Person-Centered Care. In the latter, the following regulations are laid out for administrative functions of the nurses' station: "The functions of administrative work, charting and storage may be located among several separate direct care staff work areas located within the resident household. The administrative work area(s) shall be designed and located so it is not visually or physically separated from the normal use areas of residents and family members."

New Construction - Staff Area    (TOP)    (NEXT)

Idaho requires that newly constructed facilities provide a toilet, lounge, and closet space for staff. The toilet may be unisex. The closets – or compartments – must provide individual space for storage of personal belongings. Maryland requires that all nurses' stations include a "toilet, within the care unit, for the use of personnel, a handwashing sink equipped with 4 inch wrist blades, gooseneck spout, and separate soap dispensers and towel dispensers." Mississippi requires that separate toilet rooms be provided for male and female employees and that a separate toilet room with a door that can be locked be provided for the public. Washington provides a variety of specific regulations around personnel space for new facilities including this regulation: "The nursing home must provide space for employee inservice education that will not infringe upon resident space."

New Construction - Specialized Care Units    (TOP)    (NEXT)

New York devotes attention to the construction of facilities for two specialized populations: ventilator-dependent residents and residents requiring neurobehavioral interventions. Requirements for the former include language about allowing enough space for equipment in bathing and shower facilities. For the latter, the requirements include the stipulation that "doors to all resident rooms shall be located so as to negate a possible resident hiding space behind the door."

New Construction - Resident Call System    (TOP)    (NEXT)

In Maine, new facilities "shall have intercom systems connecting resident areas with the nurses station." In Maryland, the following guidance is provided about installing resident call systems: "A call station or stations providing detachable extension cords to each patient's bed in the patients' rooms. These extension cords shall be readily accessible to patients at all times." Missouri allows a variety of systems to fulfill its requirement for an emergency call system: "The facility shall be equipped with a call system that consists of an electrical intercommunication system, a wireless pager system, a buzzer system, or hand bells for each resident bed, toilet room, and bathroom."

New Construction - Tub and Shower Room    (TOP)    (NEXT)

In newly constructed facilities in the District of Columbia, the shower may be no smaller than four square feet in size, "including curbs, to prevent the flow of water from inside the shower." In newly constructed facilities in Idaho, at least one toilet training room must be provided per floor and it must be accessible from the corridor. Minnesota requires that newly constructed bath and shower facilities must all be designed for assisted bathing. Nebraska requires that "In new construction, all resident-used toilet and bathing rooms with less than 50 square feet of clear floor area must not have doors that swing solely inward." Similarly, Oklahoma requires: "When such rooms have only one opening or are small, the doors shall be capable of opening outward or be otherwise designed to be opened without need to push against a resident who may have collapsed within the room."

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 - Nursing Units by State (with a link to each State's specific language).  Link to a downloadable PDF document containing all State requirements on Physical Environment - Nursing Units.

483.70 Physical Environment

Nursing Units
(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 Electrical Call System (Date-Specific); Resident Bedside; New Systems - Additional Signals
Alaska No No state-specific environmental regulations.
Arizona Yes Direct Care Equipment
Arkansas Yes Minimum Size per Unit/Station; Maximum Distance from Unit/Station; Call System; New Construction; Alzheimer’s-Specific Unit; Intensive Care Room Design; Intensive Care Unit; Call System; Nurses' Station
California Yes Safe Handling of Gasses; Nurses’ Signal Station
Colorado Yes Storage Areas
Connecticut Yes Tub/Shower Ratio; Size; Grab Bars; Storage; Body Holding Room
Delaware Yes Call System; Tub/Shower Ratio; Privacy; Size
District of Columbia Yes Nursing Unit Design and Requirements; Distance from Nursing Unit; Refreshment Station; Work Room; Storage; Quick Response Required; Tub Ratio; Shower Size
Florida Yes Minimum Requirements per Unit/Station; Nurse Call System; Institutional Design Model; Household Design Model for Person-Centered Care; Tub/Shower Ratio; Grab Bars; Fixtures; Mirror; Storage; Institutional Design Model; Household Design Model for Person-Centered Care
Georgia Yes One Station per Unit; Minimum Requirements per Unit/Station; Maximum Distance from Unit/Station; Utility Room; Bedpans; Drinking Fountain; Treatment Room; Storage; Supplies; Accessibility; Tub/Shower Ratio; Shower Stall Dimensions; Handrails/Grab Bars
Hawaii Yes Resident Call System; Shower/Tub per Beds; Grab Bars; Privacy
Idaho Yes Resident Call System; Drinking Fountain; Isolation Room; Storage; New Construction; Service Areas; Staff Areas; Workroom; Equipment Storage; Bathing/Toilet Facilities
Illinois Yes Resident Call System; Nurses’ Unit Furnishings; Medical Equipment and Supplies; Privacy; Resident Care Equipment
Indiana Yes Resident Call System from Rooms, Tub/Shower Ratio; Ventilation; Towel Bars
Iowa Yes Locked Storage; Isolation Room; Examination and Treatment Room; Work Stations; Call System; Resident Bedside; Pull String (Date-Specific); Audible and Visual Signal; Tub/Shower Ratio; Accessibility; Privacy; Ventilation; Stall/Tub Dimensions; Safety; Grab Bars; Fixtures
Kansas Yes Minimum Requirements per Unit/Station; Cameras and Monitors; Medication Room Temperature; Minimum Size per Unit/Station; Wheelchair Parking; Drinking Fountain; Examination Room; Requirements for Facilities of Less Than 60 Beds; Register at Multiple Locations; Distinguishable Signals; Date-Specific Requirements; Two-way Voice Communication; Wireless System; Tub/Shower Ratio; Accessibility; Privacy; Dates; Space per Stall/Tub; Supplies/Storage; Grab Bars
Kentucky Yes Call System; Soiled Workroom; Special Purpose Room; Medicine Room; Stretcher and Wheelchair Parking; Personal Care Room; Shower/Tub Ratio; Grab Bars; Accessibility; Mirrors
Louisiana Yes Minimum Requirements per Unit/Station; Resident Call System; Locked Unit; Equipment and Supplies; Utility Room; Shower/Tub Ratio; Non-slip Material; Fixtures; Grab Bars; Lights
Maine Yes Maximum Distance from Unit/Station; Minimum Requirements per Unit/Station; Locked Storage; Isolation Room; Alzheimer’s/Dementia Care Unit; Utility Room; Call System; Tub/Shower Ratio; Tub/Shower Size; Adapted Use; Privacy; No Use for Other Purposes; Ventilation; Intercom System; Intercom System; Toilets per Floor
Maryland Yes Tub/Shower Ratio; Wheelchair Accommodation; Temperature; Storage of Medication; Call Systems (Existing vs. New Construction); Rehabilitation Facilities; Isolation; Nurses' Station; Toilet; Medicine Storage; Call System; Equipment Storage; Utility Room; Body Holding Room
Massachusetts Yes Call System; Equipment and Supplies; First-Aid Kit; Storage; Treatment Rooms; Grab Bars; Tub/Shower Ratio; Nurses' Station; Utility Room; Medicine Cabinet
Michigan No No state-specific environmental regulations.
Minnesota Yes Secured Unit; Hand-washing Facilities; Location of Nurses’ Station; Utility Room; Shower Dimensions; Location of Bathing Facilities; Storage; Physical Therapy Area; Call System; Nursing Area; Central Bathing Area; Handwashing Facilities; Storage; Facilities for Personnel; Rehabilitative Services; Emergency Call System
Mississippi Yes Maximum Beds per Unit; Minimum Requirements per Unit/Station; Special Care Room; Minimum Space; Food/Drug Storage; Hand-washing Facilities; Utility Room; Wheelchair Parking; Tub/Shower Ratio; Shower Stall Size; Handrails; Call System; Wheelchair Area; Linen Storage; Toilet Rooms
Missouri Yes Minimum Requirements per Unit/Station; Exemptions; Electrical Intercom, Buzzer, or Hand Bell (date-specific); Storage; Isolation Rooms (Date-Specific); Physical Therapy Area; Tub/Shower Ratio; Separate by Sex; Call System; Shower/Tub Facilities; Isolation Room; Water Temperature; Supplies and Equipment; Work Area
Montana Yes Soap; Anti-Slip Surfaces; Grab Bars; Water Temperature
Nebraska Yes Treatment Room; Medication Station; Call System; Equipment Storage; Medical Gasses; Tub/Shower Ratio; Hand Grips; Privacy; Toilet and Bathing Rooms; Call System
Nevada No No state-specific environmental regulations.
New Hampshire Yes Call System; Younger Residents; Slip-Resident Floors
New Jersey Yes Walkers and Wheelchairs; Alzheimer’s/Dementia Residents
New Mexico Yes Equipment; Storage; Isolation; Personal Need Items; Call System; Tub/Shower Ratio; Grab Bars; Wheelchair Accommodations
New York Yes Call System; Treatment Room; Utility Room; Dementia Care; Physical Therapy; Tub/Shower Design; Grab Bars; Ventilator-Dependent Residents; Neurobehavioral Interventions; Support Services (All Date-Specific)
North Carolina Yes Minimum Requirements per Unit/Station; Work Station; Storage; Isolation Facilities; Handgrips; Resident Call System; Stretcher/Wheelchair Storage; Two-Way Voice Communication
North Dakota Yes Storage; Rehabilitation Therapy Area; Call System
Ohio Yes Electric Call System; Easily Located; Hot Water
Oklahoma Yes Minimum Requirements per Unit/Station; Examination and Treatment Room Size; Equipment Storage; Sterilizing Facilities; Physical Care Facilities; Personal Care Area; Shower/Tub Ratio; Shower Dimensions; Bathtubs; Handwashing Facilities; Mirrors
Oregon Yes Minimum Requirements per Unit/Station; Handwash Sink; Storage; Isolation Room; Therapy Area; Day Care Services; Grab Bars; Whirlpool Tubs; Shower Dimensions; Non-Slip Surfaces; Locked Units; Accessibility
Pennsylvania Yes Minimum Requirements per Unit/Station; Basements or Cellars; Special Care Room; Proportion; Storage; Utility Room; Supplies; Maximum Distance from Unit/Station; Medication Cart; Maximum Distance from Soiled/Clean Workrooms; Shower/Tub Ratio; Privacy; Grab Bars; Dressing Area; Private Bathroom for Isolation Unit
Rhode Island Yes Minimum Requirements per Unit/Station; Call System; Special Care Unit; Tub/Shower Ratio; Privacy; Grab Bars
South Carolina Yes Minimum Requirements per Unit/Station; Minimum Storage Space; Isolation; Storage; Signal System; Medicine Preparation Room; Utility Room; Tub/Shower Ratio; Privacy; Supplies; Nontransparent Doors
South Dakota Yes Resident Call System (New Construction); Office Space; Hand-washing Facilities; Isolation; Grab Bars; Service Area; Social Service Office; Employee Facilities; X-Ray Protection; Resident Call System
Tennessee Yes Alzheimer’s Special Care Unit
Texas Yes Maximum Distance from Unit/Station; Call System; Utility Room; Hand-washing Facilities; Mirrors; Auxiliary Stations; Storage; Shower/Tub Ratio; Fixtures; Grab Bars; Observation of Bedrooms; Architectural Space Planning and Utilization; Nurses' Station; Staff Area; Utility Room; Medication; Storage; Nourishment Station; Wheelchair Parking; Bathing Facilities; Administrative and Public Areas; Physical Therapy Facilities; Activities Area
Utah Yes Units Contiguous; Maximum Beds per Unit/Station; Hand-washing; Rehabilitation Therapy Area; Medical Cart; Resident Call System; Shower Dimensions; Privacy; Equipment Storage
Vermont Yes Resident Call System
Virginia Yes Resident Call System; Pharmacy; Maximum Distance from Unit/Station; Minimum Requirements per Unit/Station; Bathing Unit; Night Lights; Maximum Beds per Unit/Station
Washington Yes Minimum Requirements per Unit/Station; Location; Service Areas; Work Stations; Call System; Drug Service; Utility Room; New Construction; Isolation Room; Rehabilitation; Dementia Care Unit; Storage; Roll-in Shower; Locks; Grab Bars; Linen Storage; Beds per Floor; Location of Resident Room; Utility Rooms; Isolation Rooms; Rehabilitation; Offices; Storage; Inservice Education Space; Visiting and Private Space; Hardware and Accessories; Pharmacy; Handwashing Facilities
West Virginia Yes Resident Call System; Supplies; Equipment
Wisconsin Yes Minimum Requirements per Unit/Station; Sterilization; Supplies and Equipment; Oxygen; Resident Call System; Storage; Isolation Room; Staff Work Facilities; Shower/Tub Ratio; Privacy
Wyoming Yes Oxygen; Humidifiers; Shower/Bath Temperature

Complete Transcript of State Requirements on Physical Environment - Nursing Units    (TOP)