4658 NURSING HOMES

4658.4490 PENALTIES FOR CONSTRUCTION DETAILS, CHUTES, AND ELEVATORS; NEW CONSTRUCTION RULE VIOLATIONS. Penalty assessments for violations of parts 4658.4400 to 4658.4460 shall be assessed on a daily basis and are as follows: A. part 4658.4400, $200; B. part 4658.4405, $150; C. pa…

4658.4500 PLUMBING SYSTEMS; NEW CONSTRUCTION. Subpart 1. Installation. All plumbing systems must be installed and tested according to this chapter and chapter 4714, the Minnesota Plumbing Code. Subp. 2. Area drainage. Roofs, basements, tunnels, pits, shafts, areaways, courts, yar…

4658.4505 PLUMBING; NEW CONSTRUCTION. Subpart 1. Institutional fittings. Institutional fittings must include a mixing faucet, gooseneck spout or other approved spout, wrist-action controls, and an open grid strainer on the waste in the sinks. The spout must provide a minimum vert…

4658.4510 HEATING AND COOLING; NEW CONSTRUCTION. Subpart 1. Design and installation. Heating and cooling systems must be capable of maintaining a temperature of 71 degrees Fahrenheit to 81 degrees Fahrenheit in all resident areas. Areas must be zoned according to use and exposure…

4658.4515 VENTILATION REQUIREMENTS; NEW CONSTRUCTION. Mechanical supply and exhaust ventilation must be provided for all areas according to part 4658.4520. The systems must be designed and balanced to provide the pressure relationships described in part 4658.4520. Areas not cover…

4658.4520 VENTILATION PRESSURE RELATIONSHIPS AND VENTILATION FOR CERTAIN AREAS IN NURSING HOMES; EXISTING AND NEW CONSTRUCTION. Area Designation Pressure1 Relationship to Adjacent Areas All Supply Air From Outdoors Minimum Air Changes of Outdoor Air Per Hour Minimum Total Air Cha…

4658.4525 FRESH AIR INTAKES; NEW CONSTRUCTION. Fresh air intakes for ventilation systems must be located at least 25 feet away from a ventilation exhaust, combustion exhaust, or driveway or parking area. The bottom of fresh air intakes serving central air systems must be located …

4658.4530 HEIGHT OF REGISTERS; NEW CONSTRUCTION. Wall openings for air supply or return must be located at least four inches above the floor. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.4535 DIETARY AREA; NEW CONSTRUCTION. Subpart 1. Food preparation areas. The minimum ventilation requirements of part 4658.4520 for food preparation areas must be provided by either a combination of general ventilation and the range hood, or by general room ventilation. If ho…

4658.4540 LAUNDRY AREA; NEW CONSTRUCTION. Air in the laundry must be vented away from the finishing and ironing area and toward the extracting and washing area. The general air movement must be from the clean area to the soiled area, and must be of sufficient volume to remove ste…

4658.4545 MECHANICAL ROOMS; NEW CONSTRUCTION. Mechanical rooms with equipment using liquefied petroleum gas (LPG) or flammable liquid fuels producing vapors heavier than air must be provided with continuous mechanical outdoor air ventilation that provide a pressure which is equal…

4658.4550 FILTERS; NEW CONSTRUCTION. Subpart 1. Air supply. All air supplied to the nursing home must be free from harmful particulate matter, any type of combustion products or contaminates, obnoxious odors, or exhausted air from the building or adjoining property. Subp. 2. Filt…

4658.4590 PENALTIES FOR MECHANICAL SYSTEMS; NEW CONSTRUCTION RULE VIOLATIONS. A $200 penalty shall be assessed on a daily basis for violations of parts 4658.4500 to 4658.4550. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.4600 DISTRIBUTION PANEL BOARDS; NEW CONSTRUCTION. Subpart 1. Circuit index. All circuits in light and power panels must be identified with a typewritten index. Doors on electrical panel boards accessible to residents must be equipped with a lock. Subp. 2. Panel boards. Light…

4658.4605 CORRIDOR RECEPTACLES; NEW CONSTRUCTION. Single receptacles on a separate circuit for equipment such as floor cleaning machines must be installed approximately 50 feet apart in all corridors and within 25 feet of ends of corridors. Statutory Authority: MS s 144A.04; 144A…

4658.4610 SWITCHES AND RECEPTACLES; NEW CONSTRUCTION. Switches must be placed between 42 inches and 48 inches above the floor. Convenience outlets for electrical appliances must be located to avoid danger in wet areas. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196…

4658.4615 INTERIOR LIGHTING; NEW CONSTRUCTION. A source of lighting must be provided in every room in the nursing home. Lighting levels in all areas of the nursing home must be adequate and comfortable. "Adequate lighting" means levels of illumination suitable to tasks the reside…

4658.4620 FIRE ALARM SYSTEMS; NEW CONSTRUCTION. Fire alarm systems and sprinkler systems must be provided in accordance with chapter 1305. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.4625 BEDROOM RECEPTACLES; NEW CONSTRUCTION. Each resident bedroom must have a minimum of two duplex receptacles mounted on the wall at the head of the bed, and one receptacle mounted on each side of the bed, for a total of four electrical outlets per bed. In addition to the …

4658.4630 NIGHT LIGHTS; NEW CONSTRUCTION. Each resident bedroom must be provided with a night light. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.4635 NURSE CALL SYSTEM; NEW CONSTRUCTION. The nurses' station must be equipped with a communication system designed to receive calls from the resident and nursing service areas required by this part. The communication system, if electrically powered, must be connected to the…

4658.4640 EMERGENCY ELECTRIC SERVICE; NEW CONSTRUCTION. To provide electricity during an interruption of the normal electrical power supply that affects medical care, or safety of the occupants, an emergency source of electrical power must be provided and connected to certain cir…

4658.4690 PENALTIES FOR ELECTRICAL SYSTEMS; NEW CONSTRUCTION RULE VIOLATIONS. Penalty assessments for violations of parts 4658.4600 to 4658.4640 shall be assessed on a daily basis and are as follows: A. part 4658.4600, subpart 1, $50; B. part 4658.4600, subpart 2, $200; C. parts …

4658.5000 BEDROOM DESIGN, EXISTING CONSTRUCTION. Subpart 1. Design. Each resident bedroom must be designed and equipped for adequate nursing care, comfort, and privacy of residents, including full visual privacy of residents. Subp. 2. Usable floor area. The usable floor area per …

4658.5005 BEDROOM DOOR LOCKS; EXISTING CONSTRUCTION. Subpart 1. Written policy. A nursing home must develop a written policy regarding the use of locks on resident bedroom doors. The policy must address whether or not doors can be locked while the resident is in the room. Subp. 2…

4658.5010 CLOTHES WARDROBE OR CLOSET; EXISTING CONSTRUCTION. A nursing home must provide each resident with individual wardrobe or closet space in the resident's bedroom with clothes racks and shelves accessible to the resident. Locks may be provided, with keys for the residents,…

4658.5015 CORRIDOR HANDRAILS; EXISTING CONSTRUCTION. Securely anchored, durable handrails must be provided on both sides of corridors used by residents. If a length of corridor space between doorways is 60 inches or less, a handrail is not necessary for that portion of the corrid…

4658.5020 NURSING AREA; EXISTING CONSTRUCTION. Subpart 1. Nurses' station. At least one nurses' station must be provided per resident floor. A nurses' station may serve more than one nursing area on the same floor if the maximum distance from resident bedrooms does not exceed tha…

4658.5025 TOILET ROOMS AND SANITARY FIXTURES; EXISTING CONSTRUCTION. A nursing home must have at least one toilet and one sink for eight beds, and at least one shower or tub for 20 beds. When the licensed bed capacity is increased, the requirements under part 4658.4135 apply to t…

4658.5030 CENTRAL BATHING AREA; EXISTING CONSTRUCTION. Subpart 1. Fixtures. Bathing fixtures must be provided in accordance with part 4658.5025. Subp. 2. Bathing areas. A. In bathing areas with more than one fixture, each bathtub or shower area must have privacy curtains or wall …

4658.5035 HANDWASHING FACILITIES; EXISTING CONSTRUCTION. Handwashing facilities must be available for persons providing services to residents. Single-service towels must be available. Use of a common towel is prohibited. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 1…

4658.5040 ROOM LABELING; EXISTING CONSTRUCTION. All bedrooms must be labeled using a system of numbers. All service rooms must be labeled. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.5090 PENALTIES FOR RESIDENT AREAS; EXISTING CONSTRUCTION RULE VIOLATIONS. Penalty assessments for violations of parts 4658.5000 to 4658.5040 shall be assessed on a daily basis and are as follows: A. part 4658.5000, subpart 1, $200; B. part 4658.5000, subpart 2, $150; C. part…

4658.5100 DINING, DAYROOM, AND ACTIVITY AREAS; EXISTING CONSTRUCTION. Subpart 1. Area. A nursing home must provide areas for dining, dayroom, and activities. Subp. 2. Space for adult day care. Additional space must be provided, in accordance with part 9555.9730, for dining, dayro…

4658.5190 PENALTIES FOR SUPPORTIVE SERVICES; EXISTING CONSTRUCTION RULE VIOLATIONS. A $150 penalty shall be assessed on a daily basis for violations of part 4658.5100. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.5200 FOOD SERVICE EQUIPMENT; EXISTING CONSTRUCTION. Subpart 1. Food service equipment. All food service equipment being replaced must be of a type that complies with the requirements of part 4658.3500, subpart 3. Subp. 2. Cutting boards. Cutting boards or similar use table t…

4658.5205 LAUNDRY; EXISTING CONSTRUCTION. A laundry, if provided in the nursing home, must be sized and equipped to handle the laundering of all linen and personal clothing to be processed in the nursing home. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Publishe…

4658.5210 SOILED LINEN COLLECTION ROOM; EXISTING CONSTRUCTION. A separate, enclosed soiled linen room must be provided for the collection, storage, and sorting of soiled linen to be processed in the laundry processing room or by an outside laundry service. Statutory Authority: MS…

4658.5215 LAUNDRY EQUIPMENT; EXISTING CONSTRUCTION. Laundry equipment must be of commercial type and must be of sufficient size and quantity for the size of the facility. The washer installation must be constructed of materials capable of meeting the operating requirements in par…

4658.5220 CLEAN LINEN STORAGE; EXISTING CONSTRUCTION. Rooms, closets, or enclosed carts must be provided for the storage of clean linen. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.5225 LAUNDRY FOR PERSONAL CLOTHING; EXISTING CONSTRUCTION. Provision must be made for the washing of personal clothing either within or outside the facility. Residential-grade equipment may be used for the washing of personal clothing. Statutory Authority: MS s 144A.04; 144A…

4658.5230 REFUSE; EXISTING CONSTRUCTION. Subpart 1. Refuse area. An outside, fenced area or a separate room must be provided for holding trash and garbage prior to disposal. It must be located conveniently to the service entrance and be sized to accommodate the refuse volume and …

4658.5235 FACILITIES FOR PERSONNEL; EXISTING CONSTRUCTION. Locker and toilet facilities must be provided for personnel. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11, 2007

4658.5240 REHABILITATIVE SERVICES AREAS; EXISTING CONSTRUCTION. Subpart 1. Specialized rehabilitative therapy area. A specialized rehabilitative therapy service, if provided, must be provided space and equipment for exercise and treatment which meets the needs of a medically dire…

4658.5245 BARBER AND BEAUTY SHOP SERVICES ROOM; EXISTING CONSTRUCTION. In buildings constructed after 1972, a room must be provided and equipped for barber and beauty shop services. Statutory Authority: MS s 144A.04; 144A.08 History: 21 SR 196 Published Electronically: October 11…

4658.5290 PENALTIES FOR DIETARY, LAUNDRY, AND OTHER SERVICES; EXISTING CONSTRUCTION RULE VIOLATIONS. Penalty assessments for violations of parts 4658.5200 to 4658.5245 shall be assessed on a daily basis and are as follows: A. parts 4658.5200 to 4658.5220, $200; B. part 4658.5225,…

4658.5300 AREA HEAT PROTECTION; EXISTING CONSTRUCTION. Floors and walls for resident living areas which are overheated due to adjoining heat sources must be insulated or otherwise protected to prevent the surface from exceeding a temperature of 85 degrees Fahrenheit. Statutory Au…