As a condition for receiving a grant and grant funds for a nursing home facility under this part, States must comply with the requirements of this section.
Table to Paragraph (b)-Nursing Home
I. Support facilities [allowable square feet (or metric equivalent) per facility for VA participation]: | |
Administrator | 200 |
Assistant administrator | 150 |
Medical officer, director of nursing or equivalent | 150 |
Nurse and dictation area | 120 |
General administration (each office/person) | 120 |
Clerical staff (each) | 80 |
Computer area | 40 |
Conference room (consultation area, in-service training) | 500 (for each room) |
Lobby/waiting area. (150 minimum/600 maximum per facility) | 3 (per bed) |
Public/resident toilets (male/female) | 25 (per fixture) |
Pharmacy1 | |
Dietetic service1 | |
Dining area | 20 (per bed) |
Canteen/retail sales | 2 (per bed) |
Vending machines (450 max. per facility) | 1 (per bed) |
Resident toilets (male/female) | 25 (per fixture) |
Child day care1 | |
Medical support (staff offices/exam/treatment room/family counseling, etc.) | 140 (for each room) |
Barber and/or beauty shops | 140 |
Mail room | 120 |
Janitor's closet | 40 |
Multipurpose room | 15 (per bed) |
Employee lockers | 6 (per employee) |
Employee lounge (500 max. per facility) | 120 |
Employee toilets | 25 (per fixture) |
Chapel | 450 |
Physical therapy | 5 (per bed) |
Office, if required | 120 |
Occupational therapy | 5 (per bed). |
Office, if required | 120 |
Library | 1.5 (per bed) |
Building maintenance storage | 2.5 (per bed) |
Resident storage | 6 (per bed) |
General warehouse storage | 6 (per bed) |
Medical/dietary/pharmacy | 7 (per bed) |
General laundry1 | |
II. Bed units: | |
One | 150 |
Two | 245 |
Large two-bed per unit | 305 |
Four | 460 |
Lounge areas (resident lounge with storage) | 8 (per bed) |
Resident quiet room | 3 (per bed) |
Clean utility | 120 |
Soiled utility | 105 |
Linen storage | 150 |
General storage | 100 |
Nurses station, ward secretary | 260 |
Medication room | 75 |
Exam/Treatment room | 140 |
Waiting area | 50 |
Unit supply and equipment | 50 |
Staff toilet | 25 (per fixture) |
Stretcher/wheelchair storage | 100 |
Kitchenette | 150 |
Janitor's closet | 40 |
Resident laundry | 125 |
Trash collection | 60 |
III. Bathing and Toilet Facilities: | |
(A) Private or shared facilities: | |
Wheelchair facilities | 25 (per fixture) |
Standard facilities | 15 (per fixture) |
(B) Full bathroom | 75 |
(C) Congregate bathing facilities: | |
First tub/shower | 80 |
Each additional fixture | 25 |
1 The size to be determined by the Chief Consultant, Geriatrics and Extended Care, as necessary to accommodate projected patient care needs (must be justified by State in space program analysis).
38 C.F.R. §59.140
Authority: 38 U.S.C. 101 , 501 , 1710 , 1742 , 8105 , 8131 - 8137 ; Sections 2 , 3 , 4 , and 4a of the Architectural Barriers Act of 1968, as amended, Public Law 90-480 , 42 U.S.C. 4151 - 4157