(a)  All details and finishes for modernization projects as well as for new construction shall meet the following requirements:

(1)           All rooms containing baths, showers, and toilets, subject to patient occupancy, shall be equipped to open from the outside without the use of a key in any emergency.  When such rooms have only one opening, the door shall open outward from the room or shall be designed so that the door can be opened without need to push against the occupant in the room;

(2)           Doors in all openings between corridors and rooms or spaces subject to occupancy shall be of the side hinged type or an approved sliding type door;

(3)           No doors shall swing into corridors in a manner that might obstruct traffic flow or reduce the required corridor width except for doors to spaces such as closets less than 25 square feet in floor area, which are not subject to occupancy;

(4)           Grab bars shall be provided at all patient toilets, showers, and tubs.  Grab bars shall have not less than 1-1/2 inch clearance to the wall or support and shall be capable of supporting not less than a 250 pound concentrated load;

(5)           Single use soap dispensers, towel dispensers or air driers shall be provided at all hand washing fixtures except scrub sinks;

(6)           All rooms shall have not less than 8 foot high ceilings except that ceilings of corridors, storage rooms, toilet rooms, and other minor rooms shall be no less than 7 feet 6 inches high.  Suspended tracks, rails, pipes, etc., located in the path of normal traffic, shall be no less than 7 feet 6 inches above the floor;

(7)           Rooms containing equipment shall be insulated or ventilated to prevent any patient use floor surface above from exceeding a temperature 10 degrees F. above the ambient room temperature; and

(8)           Fire extinguishers shall be provided throughout the building to comply with National Fire Protection Association Standard 10 as found in Rule .6102(2) of this Section.

(b)  Finishes shall meet the following requirements:

(1)           Floors in areas used for food preparation or food assembly shall be water, oil and slip resistant.  Joints in tile and similar material in such areas shall be resistant to food acids.  In all areas subject to frequent wet cleaning, floors shall not be physically affected by germicidal and cleaning solutions.  Floors that are subject to traffic while wet, as in kitchens, showers, and bath areas and similar work areas, shall have a non-slip surface;

(2)           Floors and wall bases in operating and delivery rooms shall be joint free.  Wall bases shall be tightly sealed within the wall and constructed without voids that can harbor vermin;

(3)           Floors and wall bases in kitchens, soiled workrooms, and other areas subject to frequent wet cleaning, shall be made integral with the floor, tightly sealed to the wall, and constructed without voids that can harbor vermin;

(4)           In patient care areas, walls shall be washable; in the immediate area of plumbing fixtures, the finish shall be smooth, moisture resistant, and easily cleanable;

(5)           Floor and wall penetrations and joints of structural elements shall be tightly sealed to minimize entry of rodents and insects;

(6)           Ceilings throughout shall be easily cleanable.  Ceilings in operating and delivery rooms, nurseries, isolation rooms, sterile processing rooms, and other sensitive areas shall be readily washable and without crevices that can retain dirt particles.  Dietary and food preparation areas shall have a finished ceiling covering all overhead structural elements and building systems.  Finished ceilings may be omitted in mechanical and equipment spaces, shops, general storage areas, and similar spaces except where required for fire rating;

(7)           Rooms used for protective isolation shall not have carpet.  Ceilings shall be of monolithic construction; and

(8)           Rooms where impact noises are generated shall not be located directly over or under patient bed areas, and delivery or operating suites unless special provisions are made to minimize noise.


History Note:        Authority G.S. 131E-79;

Eff. January 1, 1996.