Section 325.13507. Interiors.

Rule 507. (1) A home care hospice  residence   building  shall  be  of  safe construction and shall be free from hazards to hospice residents, personnel, and visitors.

(2)   A stairway or ramp shall have a handrail on both sides.

(3)   A room shall be provided with a type and amount of ventilation which will control odors and contribute to the comfort of occupants as follows:

(a)   Systems shall be capable of maintaining a temperature in the range of 71 to 81 degrees Fahrenheit in patient and public areas.

(b)   Supply air systems shall be equipped with air filters rated at a minimum efficiency of 25% per ASHRAE standard 52.1992. Printed copies of ASHRAE standard 52.1--1992 are available a cost of $15.00/member   and $19.00/non-member from the American Society of Heating, Refrigeration, and Air-conditioning Engineers, Inc. (ASHRAE), 1791 Tullie Circle, NE, Atlanta, GA and WWW.ASHRAE.ORG. It is also available for review at the Bureau of Health Systems, Michigan Department of Consumer & Industry Services, 525 W. Ottawa, G. Mennen Williams Building, 5th floor, Lansing, MI 48933.

(c)   Net airflow shall be from clean to less clean.

(d)    Air shall not be returned from toilet/bathing rooms, janitor's closets, soiled holding/utility rooms, and isolation rooms.

(e)    Continuous exhaust ventilation shall be provided for    janitor     closets, soiled utility rooms, isolation rooms, and toilet rooms that serve more than 1 patient.

(4)   A floor, wall, or ceiling shall be covered and  finished  in  a  manner that will permit maintenance of a sanitary environment.

(5)    All of the following areas of the hospice residence shall    be    provided with lighting as follows:

(a)    General room illumination-10 footcandles measured at   30   inches   above the floor.

(b)   Reading locations (head of bed)-30 footcandles.

(c)   Charting/medical area-50 footcandles.

(d)  Handwash sinks and bathing areas-30 footcandles.

(e)   Food preparation areas (task level)-30 footcandles.

(f)  Storage rooms-20 footcandles.

(g)   Corridors-20 footcandles.

(h)   Laundry (general)-30 footcandles.

(i)   Examination/treatment (may be portable)-75 footcandles.

(j)    Night lighting in toilet rooms and bedrooms, sufficient to illuminate a footpath from the bed to the toilet room.

(k)    Light fixtures shall be equipped with lenses or shields for   protection of the lamps or with lamps that will not shatter.

(6)   A room used for living or sleeping purposes shall have a minimum total window glass area on the outside walls equal to 10% of the required floor area and a clear unobstructed window view for a minimum distance of 20 feet.

(7)   A minimum of 30 square feet of floor space per  hospice   bed  shall  be provided for dayroom, dining, and activity space.

(8)   A basement or cellar shall not be used for sleeping or living quarters.

(9)    A battery or secondary power source shall be provided for all critical or life support equipment, including oxygen and suction equipment, and there shall be emergency lighting sufficient to light corridors and exits.

(10)   A functionally separate living, sleeping, dining, lavatory, water closet, and bathing facility shall be provided for personnel and members of their families who live on the premises.

(11)   A doorway, passageway, corridor, hallway, or stairwell shall  be  kept free from obstructions at all times.

(12)   An elevator shall be provided if hospice beds are located on more than 1 floor level. An elevator shall have a minimum cab size of 5 feet by 7 feet 6 inches.

(13)      Dedicated  space  shall   be  provided  for     patient/family      visitation       and bereavement. The space may be omitted where all private bedrooms are provided.

(14)   The facility shall provide for family overnight stay.

History: 2003 AACS.