(A) Each resident, if the resident so chooses, shall be provided with an individual bed not less than thirty-six inches wide, a clean comfortable flame-resistant mattress and clean pillows, sheets, and covering suitable for the resident's comfort. A nursing home shall arrange for the provision of at least a double size bed, upon request of a married couple or other consenting adult residents sharing a room in accordance with the nursing home's policy, unless there is an overriding documented medical reason that puts one of the consenting parties at risk of health and safety or there is a risk to other residents. Mattresses shall be protected with waterproof material unless otherwise ordered by a physician. Roll away beds, cots, double deck beds, stacked bunk beds, hide-a-bed couches, or studio couches shall not be used as beds. All mattresses purchased or obtained by the nursing home, or brought to the nursing home by residents, shall be in safe condition.
(B) Unless otherwise ordered by a physician or other licensed health professional acting with the applicable scope of practice, each resident shall be provided with a bedside table, a bedside light that is sufficient for reading and staff rendering of bedside care, a bureau or equivalent, a waste basket with liners, a comfortable chair, and adequate closet or wardrobe space for the storage of personal clothing in the resident's room. A nursing home may provide additional storage space for resident belongings elsewhere in the nursing home. Resident rooms shall be designed or equipped to assure full visual privacy for each resident. For the purposes of this paragraph, "full visual privacy" means that the resident has a means of completely withdrawing from public view while occupying their bed through such means as a curtain, moveable screens or private room.
(C) Each nursing home shall have a call signal system in good working order that, at minimum, provides for the transmission of calls from resident rooms and toilet and bathing facilities.
(D) Supplies such as hypodermic syringes, needles, and lancets shall be discarded after use in accordance with state and federal requirements. Reusable items shall be cleaned and disinfected according to manufacturer's directions and in accordance with applicable state and federal law and regulations.
(E) All nursing homes shall, at all times, have the supplies and equipment necessary to provide the services and nursing care needed by the type of residents admitted to or residing in the nursing home. Wheelchairs, gerichairs, quad canes, adaptive eating equipment and utensils, and other assistive devices shall be maintained in good and safe working condition and shall be equipped properly for the specific needs of each resident.
(1) All equipment and supplies in a nursing home shall be kept clean and usable and shall be satisfactorily stored when not in use.
(2) In selecting supplies and equipment, the home shall consider resident needs.
(F) Within areas generally accessible to residents, all disinfectants, pesticides, and poisons shall be kept in a locked area separate from medications and food.
(G) The nursing home shall provide a safe, clean, comfortable and homelike environment allowing each resident to use personal belongings to the extent possible. Residents may refuse furnishings, equipment and supplies provided by the nursing home. The nursing home shall allow residents to bring their own furnishings and other personal items into the home to personalize their individual environment if the furnishings and items do not create a health and safety risk, are not medically inadvisable, or infringe upon the rights of other residents. Upon request, the nursing home shall assist the resident in obtaining essential furnishings and supplies.
Five Year Review (FYR) Dates: 8/14/2017 and 11/01/2022
Promulgated Under: 119.03
Statutory Authority: 3721.04
Rule Amplifies: 3721.04
Prior Effective Dates: 3/1/1971, 12/21/92, 10/20/01, 4/1/12