TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER c: LONG-TERM CARE FACILITIES
PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE
SECTION 300.3060 NURSING UNIT
Section 300.3060 Nursing Unit
a) General Requirements for Bedrooms
1) Resident bedrooms shall have an entrance directly off of a corridor with an entrance door that swings into the room. Rooms used as bedrooms and included in the licensed capacity as of December 24, 1987, which do not open directly into corridors but instead open into large living/dining/activity areas, are exempt from this subsection (a)(1). However, no additional such rooms will be permitted to be established after December 24, 1987.
2) Resident bedrooms shall have adequate and satisfactory artificial light and be equipped in accordance with Section 300.3140(c).
3) Resident toilet rooms shall open directly into a corridor or into a resident's bedroom. (B)
4) A closet or wardrobe at least four square feet shall be provided for each resident.
5) No bedroom floor shall be more than three feet below the adjacent ground level.
6) Each room used as a resident bedroom shall have at least one outside window, and a total window area to the outside equal to at least one-tenth the floor area of the room.
7) Nurses' call system shall be provided in accordance with Section 300.3140(e). (B)
8) Visual privacy shall be provided for each resident in multi-bedrooms. Methods for privacy shall not restrict resident access to entry, lavatory, or toilet.
b) Resident Bedroom.
1) Single resident bedrooms shall contain at least 100 square feet of usable floor area. Multiple resident bedrooms shall contain at least 80 square feet per bed of usable floor area. Minimum usable floor area shall be exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, vestibules, or clearly definable entryways. Those bedrooms for which facilities had waivers to this subsection (b)(1) on (and continuously since) December 24, 1987, and which have at least 90 square feet for single bedrooms and 70 square feet per bed for multi-bedrooms are exempt from this subsection (b)(1). Those bedrooms for which facilities had waivers to this subsection (b)(1) on (and continuously since) December 24, 1987, but which have less than 90 square feet for single bedrooms and 70 square feet per bed multi-bedrooms, continue to be subject to waiver procedures on an annual basis (See Section 300.320).
2) Maximum room capacity shall be four residents. Beds shall be at least three feet apart, and no more than three beds deep from an outside wall. There shall be a minimum of ten feet between walls or a wall and any built in furniture or storage space.
c) Special Care Room
1) In Intermediate Care Facilities, provide a special care room for each 150 beds. In Skilled Nursing Facilities, provide a special care room for each 50 beds or portion thereof.
2) Provide this room with a water closet, lavatory and all other necessary facilities to meet the resident's needs and as required to care for an ill resident.
3) This room shall be located to provide proper and efficient supervision of the resident by the nursing staff.
4) This room shall be included in the authorized maximum bed capacity for the facility.
5) It is permissible for the room to be occupied by a resident, not in need of special care, provided the resident is clearly informed and understands he will be immediately transferred out of the room any time of day or night, whenever the room is needed to care for a resident requiring special care.
d) Nurses' Station
1) Provide a minimum of one nurses' station on each floor. (In skilled nursing facilities there shall be a station for each nursing unit.) The station shall have direct access to a corridor, shall be located near the area it will serve, and shall be designed to provide visual control of the area. It shall be separated satisfactorily from the nurses' utility rooms. In Intermediate Care Facilities one nurses' station serving two floors housing residents is acceptable if there are less than 15 beds on an adjacent station. (B)
2) At least one nurses' station shall have a medicine sink with hot and cold running water, a work counter, a medicine cabinet, and necessary equipment and furnishings. (In skilled nursing facilities each nurses' station shall be so equipped.)
3) Provide a nurses' toilet and handwashing sink convenient to the nurses' station.
e) Bath and Toilet Rooms
1) The maximum capacity of resident beds on each floor shall be used to determine the number of fixtures required even though some of the beds may not be occupied.
A) Provide a minimum of one water closet, one lavatory, and one bathtub or shower for each sex on each floor occupied by residents.
B) Provide a minimum of one lavatory and one water closet for each ten resident beds on each floor.
C) Provide a minimum of one bathtub or shower for each 15 resident beds on each floor.
D) Each lavatory shall be provided with a well-illuminated mirror.
2) All bath and toilet rooms shall be easily accessible, and conveniently located. Group bath and toilet facilities shall be partitioned or curtained for privacy.
3) All showers, other than those for residents needing assistance in bathing, shall have minimum dimensions of three feet by three feet.
4) If toilet rooms provided adjacent to residents' bedrooms are not large enough to permit use by wheelchair residents, at least one toilet room or enclosure measuring five feet by six feet shall be provided on each floor housing residents. (In Skilled Nursing Facilities there shall be one for each sex on each floor.) Provide a lavatory usable by wheelchair residents in this room.
5) Provide on each floor at least one bathing facility or enclosure of not less than eight feet six inches by eight feet six inches with an acceptable system for assistance in bathing persons with physical disabilities. If a shower is installed instead of a bathtub, such shower shall have a minimum dimension of four feet wide by three feet six inches deep. These showers shall have a water inlet to which is connected a flexible hose with spray or shower head attached to the end of the hose. If desired, a conventional shower head installation may also be provided but it must be valved off from the lower water inlet.
f) Utility Rooms
1) Every facility shall have clean and soiled utility functions in separate rooms. There shall be at least one each of these rooms in the facility. (In Skilled Nursing Facilities there shall be at least one each of these rooms on each floor having resident bedrooms.)
2) Clean Utility Room
A) The clean utility room shall be large enough to contain:
i) a work counter or table;
ii) a sink with drainboard;
iii) ample storage cabinets for clean and sterile supplies and equipment; and
iv) an autoclave, if required, for sterilizing needles, syringes, catheters, dressings, and similar items.
B) The autoclave may be located in the nurses' station area. The autoclave may be waived in lieu of other methods of sterilization approved by the Department.
3) Soiled Utility Room
A) The soiled utility room shall be large enough to contain:
i) a two compartment sink with drainboards;
ii) ample storage cabinets;
iii) a clinical rim flush sink for: rinsing bed pans, urinals, and linen soiled by solid materials, and similar type procedures; and
iv) equipment and facilities for sanitizing bed pans, emesis basins, urine bottles, and other utensils, which meet accepted methods and procedures for such sanitation.
B) Based upon approval of the program narrative, the Department will consider a waiver of this subsection for Intermediate Care Facilities.
(Source: Amended at 16 Ill. Reg. 17089, effective November 3, 1992)