W. Va. Code R. § 64-54-13

Current through Register Vol. XLI, No. 36, September 6, 2024

Section 64-54-13 - Inpatient Physical Facilities, Equipment, and Related Items

13.1. The provisions of this section apply to all hospice inpatient facilities. An inpatient facility licensed prior to the effective date of this rule shall be maintained in accordance with applicable standards of practice as referenced in "Sections 8 and 13" in the 2001 edition of The Guidelines for Design and Construction of Hospital and Health Care Facilities as recognized by the American Institute of Architects Academy of Architecture for Health.

13.2. The following documents shall be adopted as construction, equipment, physical facility, and related procedural standards for all inpatient facilities, new construction and any additions, alterations, renovations, or conversions of existing buildings:

13.2.a. "Section 4.2: of the 2006 edition of The Guidelines for Design and Construction of Hospital and Health Care Facilities as recognized by the American Institute of Architects Academy of Architecture for Health with assistance from the United States Department of Health and Human Resources shall be used as planning standards;

13.2.b. The State Building Code, which is the 2003 Edition of the International Building Code as adopted by the State Fire Commission, State Building Code, 87CSR4;

13.2.c. Provisions applicable to nursing homes, electrical standards, medical gas standards and patient care equipment standards and health care emergency management standards as defined in the applicable subsections in the 2005 Edition of NFPA 99, Standard for Health Care Facilities;

13.2.d. The guidelines set forth in the Americans With Disabilities Act, 28 CFR Part 36; and

13.2.e. The current State Fire Code as adopted by the State Fire Commission, State Fire Code, 87CSR1.

13.3. An inpatient facility shall comply with applicable rules of the West Virginia State Fire Commission.

13.4. An inpatient facility shall ensure that patient rooms are designed and equipped for nursing care, as well as the dignity, comfort, and privacy of patients.

13.4.a. Maximum room occupancy is one (1) patient unless justified by the hospice. In no case shall a patient room exceed two (2) occupants.

13.4.b. All patient rooms shall provide a minimum of one hundred and twenty (120) square feet of clear floor space per patient excluding toilet room space. Each patient room shall have a private toilet and bathing space.

13.4.c. A minimum of fifty (50) percent of the patient rooms shall meet the guidelines set forth in the Americans With Disabilities Act, 28 CFR Part 36.

13.5. The interior and exterior of the inpatient facility shall be maintained to provide a clean, safe, sanitary environment free of hazards for patients, staff, and visitors.

13.6. An inpatient facility shall have an emergency operations plan in effect for managing the consequences of power failures, natural disasters, and other emergencies that would affect a hospice's ability to provide care or interrupt normal operations.

13.6.a. All staff shall be familiar with the written emergency operations plan developed in accordance with the standards identified in NFPA 99.

13.6.b. New employees shall be trained in emergency operations upon hire and annually thereafter in accordance with the requirements identified in NFPA 99.

13.6.c. The administrator shall review the emergency operations plan on an annual basis, which shall be verified by his or her signature and the date.

13.6.d. There shall be at least one (1) rehearsal of the emergency operations plan on a semiannual basis.

13.7. An inpatient facility shall develop procedures for managing the control, reliability, and quality of the physical facility. This shall include the light, temperature, humidity, ventilation and air exchanges, and air quality throughout the hospice.

13.8. An inpatient facility shall have adequate drainage, electricity, telephone, sanitation, water, and other necessary facilities available on or near the site.

13.9. An inpatient facility shall meet local building codes and zoning restrictions. Where local codes or regulations permit lower standards than required by this rule, the standards contained in this rule take precedence.

13.10. Site conditions shall comply with the relevant sections of the 2006 Edition of The Guidelines for Design and Construction of Hospital and Healthcare Facilities as recognized by the American Institute of Architects Academy of Architecture for Health.

13.11. An inpatient facility shall request, in writing, an inspection of a proposed inpatient facility site and obtain approval for construction from the Director before beginning construction.

13.12. For new construction, renovations and alterations, an inpatient facility shall submit to the Director for review and approval, complete construction drawings and specifications for the inpatient facility construction project which alters a floor plan, impacts life safety or requires approval under W. Va. Code § 16-2D-1, prior to beginning work on the project. An architect or engineer registered to practice in West Virginia shall prepare and sign and seal the drawings and specifications including architectural, life safety, structural, mechanical, and electrical drawings and specifications.

13.12.a. Each new inpatient facility constructed after the effective date of this rule shall provide a private room for family members to place telephone calls.

13.12.b. Prior to starting any renovations, an inpatient facility shall complete an infection control and safety risk assessment and shall develop a plan to control exposure of patients, employees and the public. This plan shall be implemented prior to and during construction phases.

W. Va. Code R. § 64-54-13