403.742—Condition of participation: Physical environment.
A RNHCI must be designed, constructed, and maintained to ensure the safety of the patients, staff, and the public.
(a) Standard: Buildings.
The physical plant and the overall environment must be maintained in a manner that ensures the safety and well-being of the patients. The RNHCI must have the following:
(1)
Emergency power for emergency lights, for fire detection and alarm systems, and for fire extinguishing systems.
(3)
Proper ventilation and temperature control and appropriate lighting levels to ensure a safe and secure environment.
(7)
A preventive maintenance program to maintain essential mechanical, electrical, and fire protection equipment operating in an efficient and safe manner.
(b) Standard: Patient rooms.
Patient rooms must be designed and equipped for adequate care, comfort, and privacy of the patient.
(ii)
Measure at least 80 square feet per patient in multiple patient rooms and at least 100 square feet in single patient rooms.
(iv)
Functional furniture appropriate to the patient's needs and individual closet space with clothes racks and shelves accessible to the patient.
(3)
CMS may permit variances in requirements specified in paragraphs (b)(1)(i) and (ii) of this section relating to rooms on an individual basis when the RNHCI adequately demonstrates in writing that the variances meet the following: