Minnesota Administrative Rules

4664.0430 PATIENT CARE AREAS.

Subpart 1.

Applicability.

A hospice provider that operates a residential hospice facility must comply with this part.

Subp. 2.

Space to meet needs of patients.

Appropriate space and arrangements for sleeping, dining, and recreation and other common use areas for patient activities must be provided.

Subp. 3.

Patient bedroom.

A bedroom must be an exterior room with at least one window, which is easily opened to the outside. The floor of the bedroom at the exterior wall must be at or above grade. The windowsill must be no more than 30 inches above the floor. Each bedroom must have no more than two beds. Each bedroom must provide at least 100 square feet of useable floor area for a hospice patient in a private room or 80 square feet for each hospice patient in a double room. No basic interior room dimension may be less than nine feet. The shape of the bedroom must allow for the capability of a bed arrangement that provides at least three feet of floor space at both sides and the foot end of each bed. A bedroom must provide an individual enclosed wardrobe or closet space for each hospice patient. The wardrobe or closet must be accessible for use by each hospice patient. A bedroom or bathroom must be equipped with an individual towel bar for each hospice patient. A bedroom must have provisions to ensure visual privacy for treatment and visiting. A room with access only through a kitchen, bathroom, or bedroom will not be approved as a hospice patient bedroom.

Subp. 4.

Patient bedroom furnishings.

A bedroom must contain a serviceable bed, pillow, and chair. The bed must be at least 36 inches wide. Beds must be of suitable construction and dimensions to accommodate persons using them.

Subp. 5.

Bedding and linen.

A residential hospice facility must have available at all times a quantity of linen essential for proper care and comfort of hospice patients. All beds provided for hospice patients must be supplied with suitable pillowcases and bottom and top sheets. All bedding and bath linen, including mattresses, quilts, blankets, pillows, pillowcases, sheets, bedspreads, towels, and washcloths must be kept clean and in serviceable condition. Clean bed linen must be furnished at least once each week, or more frequently to maintain cleanliness, and at least one clean washcloth and one clean towel must be available each day to a hospice patient.

Subp. 6.

Linen handling.

A hospice provider must ensure that all bedding and bath linen, including mattresses, quilts, blankets, pillows, pillow cases, sheets, bedspreads, towels, and washcloths are kept clean and in serviceable condition. The residential hospice facility must ensure that linens are handled, stored, processed, and transported in such a manner to prevent the spread of infection.

Subp. 7.

Personal clothing and laundry.

Each hospice patient must have neat and clean clothing appropriate for the patient's needs. Laundry services must be provided and managed in a manner to provide clean clothing on a daily basis or more often if needed to maintain cleanliness.

Subp. 8.

Residential-type equipment.

Provision must be made directly or by contract for washing and drying linen and personal clothing. If provided directly by the hospice provider, the washer and dryer may be residential-type equipment for linen and personal laundry.

Subp. 9.

Patient bathroom.

Bathroom facilities must be conveniently accessible to hospice patient rooms. One bathroom may serve up to eight hospice patients. There must be at least one disability-accessible bathroom in each residential hospice facility. The bathroom must be furnished with a water closet, lavatory, mirror, paper towel dispenser, soap dispenser, and a tub or shower. If a tub or shower is provided in a separate bathing room, these fixtures are not required in the bathroom. The separate bathing room, if provided, must be disability-accessible. A disability-accessible bathroom and bathing room must be available on each inhabited floor.

Subp. 10.

Call system.

An electrical hardwired or wireless electronic call system must be provided in each hospice patient bedroom and bathroom. If the tub or shower is in a room separate from a bathroom, a call system must be provided in the tub or shower room.

Subp. 11.

Living and lounge space.

A minimum of 30 square feet per bed of living and lounge space must be provided.

Subp. 12.

Space for social activities.

A minimum of 200 square feet, exclusive of corridors, hallways, and living and lounge space, must be provided for recreational and social activities.

Subp. 13.

Soiled linen and infectious waste.

A separate enclosed room must be provided for the storage of soiled linen and infectious waste.

Subp. 14.

Ancillary space.

Space must be provided for charting, storage of clean linen, clean supplies, personal effects of staff, patient care equipment, housekeeping and cleaning supplies and equipment, and medications.

Subp. 15.

Fines.

For each violation of the following subparts, the stated fine shall be assessed:

A.

subpart 2, $100;

B.

subpart 3, $100;

C.

subpart 4, $100;

D.

subpart 5, $200;

E.

subpart 6, $300;

F.

subpart 7, $100;

G.

subpart 8, $200;

H.

subpart 9, $200;

I.

subpart 10, $200;

J.

subpart 11, $200;

K.

subpart 12, $200;

L.

subpart 13, $200; and

M.

subpart 14, $200.

Statutory Authority:

MS s 144A.752

History:

28 SR 1639; L 2005 c 56 s 2

Published Electronically:

October 11, 2007