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Code Application Notice (CAN) 2-11B, 09-09-2014

SECTIONS

11B-223 Medical care and long-term care facilities

11B-223.1 General. In licensed medical care facilities and licensed long-term care facilities where the period of stay exceeds twenty-four hours, patient bedrooms or resident sleeping rooms shall be provided in accordance with Sections 11B-223 and 11B-805.

11B-223.2 Hospitals, rehabilitation facilities, psychiatric facilities and detoxification facilities. Hospitals, rehabilitation facilities, psychiatric facilities and detoxification facilities shall comply with Section 11B-223.2. All public use and common use areas shall be accessible in compliance with this chapter.

11B-223.2.1 Facilities not specializing in treating conditions that affect mobility. In facilities not specializing in treating conditions that affect mobility, including hospitals, psychiatric and detoxification facilities, at least 10 percent, but no fewer than one, of the patient bedrooms or resident sleeping rooms shall provide mobility features complying with Section 11B-805. Accessible patient bedrooms shall be dispersed in a manner that is proportionate to the type of medical specialty.

11B-223.2.2.2 Facilities specializing in treating conditions that affect mobility. In facilities specializing in treating conditions that affect mobility, 100 percent of the patient bedrooms shall provide mobility features complying with Section 11B-805.

11B-223.2.3 On-call rooms. Where physician or staff on-call sleeping rooms are provided, at least 10 percent, but no fewer than one, of the on-call rooms shall provide mobility features complying with Sections 11B-806.2.3, 11B-806.2.4 and 806.2.6.

11B-223.3 Long-term care facilities. In licensed long-term care facilities, including skilled nursing facilities, intermediate care facilities and nursing homes, at least 50 percent, but no fewer than one, of each type of patient bedroom or resident sleeping room shall provide mobility features complying with Section 11B-805.

The following hospital patient bedrooms and their associated toilet rooms are subject to the 10 percent requirement indicated in Section 11B-223.2.1 above:

• Nursing Service Space patient bedrooms (general acute care bedrooms).

• Labor/delivery/recovery/postpartum rooms (LDRP).

Accessible patient rooms in new construction are to be dispersed in proportion to the type of medical specialty represented in the medical facility (e.g. 10 percent of medical/surgical beds, 10 percent of pediatric beds, 10 percent of post-partum beds, etc.). Only the patient bedrooms designated as accessible are required to comply with the requirements in Section 11B-805.2.

Skilled Nursing beds are subject to the 50 percent requirement. Hospital’s with distinct part skilled nursing units must create/maintain at least 50 percent of bedrooms under this category as accessible. A change in bed classification from med/surg to skilled nursing must result in number of med/surg bedrooms not dropping below 10 percent and the new number of skilled nursing bedrooms must include at least 50 percent accessible rooms.

Patient bedrooms used for rehabilitation therapy must be 100 percent accessible. Any changes in bed classification must result in both prior and new classifications meeting their respective requirements. 

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