The purpose of this Information Bulletin is to clarify what State licensure rules are applicable to nursing homes. This is not new information, nor is it new regulatory language, but rather further clarification/guidance.

History

The Minnesota Rules, Chapter 4660 were adopted in 1972 and generally address the physical plant of a nursing home. This chapter divides facilities into two categories, addressing requirements for both existing facilities and new construction. Buildings and additions to those buildings that were built prior to the 1972 adoption of the chapter are considered "existing" facilities and facilities (or parts thereof) built after the adoption date of 1972 are considered "new construction".

In 1995 and 1996, MN Rules Chapter 4658 were adopted. Most of the physical plant requirements of chapter 4658 are applicable only to new construction, i.e., construction commenced after November 13, 1995 (MN Rule 4658.3000 to 4658.4690).

In order to maintain requirements for all nursing homes that were operating at the time of the adoption of Chapter 4658, Minnesota Rule 4658.0010, subpart 4, was included in this chapter.

Minnesota Rule 4658.0010, subpart 4, states: "Existing facilities must, at a minimum, maintain compliance with the rules applicable at the time of their construction". For clarification MN. Chapter 4658 defines an existing facility as a licensed nursing home or nursing home space that was in place before November 13, 1995.

What does all this mean?

When reviewing what physical plant requirements pertain to your facility, it is important that you have knowledge of when the facility was built, in addition to when any additions or major reconstruction took place. This knowledge will assist you in determining what requirements are applicable to your facility and/or parts thereof. If your facility was built prior to November 13, 1995, Chapter 4660 is applicable to your facility. You will need to determine whether your facility is considered "existing" or "new construction" as defined by this Chapter 4660 and apply those physical plant regulations to your facility.

Waivers

If you had been granted a waiver by the Minnesota Department of Health of a rule part under Chapter 4660, this waiver is still valid as long as the stipulations in the waiver are being followed. You do not have to reapply for a waiver under the MN Rule Chapter 4658.

General Information

If you would like a copy of the Minnesota Rule Chapter 4660, you may access it via our MDH Website at Information Bulletins Copies of the tables not included with the web site document, 4660.9930 (nursing homes) and 4660.9940 (boarding care homes) Ventilation Pressure Relationships and Ventilation for Certain Areas, may be obtained by calling the Minnesota Department of Health, Health Regulation Division at (651) 201-4101..

If you would like a hard copy of the Minnesota Rules Chapter 4658, they are available at the Minnesota Bookstore at 117 University Avenue, St. Paul, MN 55155 or by calling (651) 297-3000, Minnesota Toll Free: 1-800-657-3757.

If you have any questions related to this Information Bulletin, please contact the Engineering Section at the Minnesota Department of Health, Health Regulation Division, 85 East Seventh Place, Suite 300, St. Paul, Minnesota 55164-0900 or call 651-201-4200.

REPEALER.Minnesota Rules, parts 4655.0100, subparts 4, 8, and 10; 4655.7500; 4655.8000; 4655.9070; 4655.9300; 4655.9320; 4655.9321; 4655.9322; 4655.9323; 4655.9324; 4655.9325; 4655.9326; 4655.9327; 4655.9328; 4655.9329; 4655.9330; 4655.9331; 4655.9332; 4655.9333; 4655.9334; 4655.9335; 4655.9336; 4655.9337; 4655.9338; 4655.9339; 4655.9341; 4660.1300; 4660.1400; 4660.1410; 4660.1420; 4660.1430; 4660.1440; 4660.1450; 4660.1460; 4660.1470; 4660.1480; 4660.1500; 4660.1600; 4660.1700; 4660.1800; 4660.1900; 4660.2000; 4660.2100; 4660.2200; 4660.2300; 4660.2400; 4660.2500; 4660.2600; 4660.2610; 4660.2620; 4660.2630; 4660.2640; 4660.2700; 4660.2800; 4660.2900; 4660.3000; 4660.3100; 4660.3200; 4660.3300; 4660.5700; 4660.5800; 4660.5810; 4660.7600; 4660.8010; 4660.8300; 4660.8380; 4660.8410; 4660.8500; 4660.8510; 4660.8520; 4660.8530; 4660.8540; 4660.8550; 4660.8560; 4660.8700; 4660.9910; 4660.9920; and 4660.9930, are repealed.

History

21 SR 196, effective 11/10/96

MINNESOTA RULES CHAPTER 4660
DEPARTMENT OF HEALTH
NURSING; BOARDING CARE HOMES; PHYSICAL PLANT

4660.0090 SCOPE.

The rules in chapter 4660 apply to both nursing homes and boarding care homes unless otherwise indicated.

STAT AUTH: MS s 144.56; 144A.02 to 144A.08

4660.0100 DEFINITIONS.

4660.0200 LICENSURE.

4660.0300 COMPLIANCE WITH REGULATIONS.

PLANS

4660.0400 PREPARATION OF PLANS.

4660.0500 APPROVAL OF PLANS.

4660.0600 PRELIMINARY PLANS.

4660.0700 FINAL PLANS.

4660.0800 FINAL MECHANICAL AND ELECTRICAL PLANS.

4660.0900 START OF CONSTRUCTION.

4660.1000 FINAL INSPECTION.

4660.1100 PLAN SAFEKEEPING.

4660.1200 NEW CONSTRUCTION SITE.

Public utilities shall be available and such services provided for power and light.
The water supply shall be obtained from an approved public water supply system where such is available; otherwise, water shall be obtained from a water supply system, the location, construction, and operation of which is approved by the commissioner of health. Plans and specifications for a private water supply system shall be approved before construction of the system or the facility is started.
Sewage and other liquid wastes shall be discharged into an approved public sewerage system where such a system is available; otherwise, the sewage shall be collected, treated, and disposed of in a sewage disposal system which is approved by the commissioner of health and the Minnesota Pollution Control Agency. Plans and specifications for a private sewage disposal system shall be approved before construction of the system or the facility is started.
The site shall be away from insect-breeding swamps and shall be no closer than 300 feet to the right-of-way of a railroad main line or to the property line of industrial developments which are nuisance-producing or hazardous to health. The site shall not be contiguous to or in immediate view of a cemetery or a funeral home.
The site shall be located within five miles of a municipality and in an area which has a written contract with the municipality providing fire department service, or a written contract with the municipality to provide the services of an approved organized fire department to which an alarm can be sent by telephone or other suitable alarm sending device.
The site shall not be located within 85 feet of underground or 300 feet of above-ground storage tanks or warehouses containing flammable liquids used in connection with a service station, garage, bulk plant, or marine terminal or bottling plant of liquefied petroleum gas installation.
The topography shall be such that good natural drainage is available, and that the site is not subject to flooding.
Adequate all-weather roads and walks shall be provided within the lot lines to the main entrance and the service entrance, including employees' and visitors' parking at the site.
Grading to one primary entrance shall allow for access for the elderly and the physically handicapped.
The site shall include space for outdoor activities.
Community activities shall be accessible, and there shall be a maintained public access to the site.
Medical services shall be readily available, and the location shall be such that employees can be recruited.

PATIENT OR RESIDENT AREAS

4660.1300 APPLICABILITY.

4660.1400 PATIENTS' BEDROOM REQUIREMENTS, BEDROOM CAPACITIES,
NEW CONSTRUCTION.

4660.1410 BEDROOM LOCATION EXISTING AND NEW.

4660.1420 PLACEMENT OF BEDROOMS IN NEW CONSTRUCTION.

4660.1430 USABLE FLOOR AREA IN BEDROOM.

4660.1440 BED ARRANGEMENT.

4660.1450 BEDROOM WINDOWS IN NEW CONSTRUCTION.

4660.1460 BEDROOM DOORS.

The nursing home shall develop a written policy regarding the use of locks on patient bedroom doors. The policy shall address whether or not doors can be locked while the patient is in the room.
All such locks shall permit exit from the room by a simple operation without the use of a key. All locks shall be openable with a master key which is located at each nursing station.

4660.1470 CLOTHES CLOSET.

4660.1480 CUBICLE CURTAINS, EXISTING AND NEW.

4660.1500 CORRIDORS.

4660.1600 NURSES' STATION.

4660.1700 MEDICATION ROOM, EXISTING AND NEW.

4660.1800 CLEAN UTILITY ROOM.

4660.1900 STERILIZING FACILITIES, EXISTING AND NEW.

4660.2000 CLEAN LINEN STORAGE, EXISTING AND NEW.

4660.2100 STAFF TOILET ROOMS, NEW CONSTRUCTION.

4660.2200 SOILED UTILITY ROOM.

4660.2300 NOURISHMENT AREA, NEW CONSTRUCTION.

4660.2400 SANITARY FIXTURES.

4660.2500 PROVISION OF PATIENT TOILET ROOMS, NEW CONSTRUCTION.

4660.2600 TOILET ROOM LAYOUT, NEW CONSTRUCTION.

The door opening shall be at least two feet, eight inches wide.
The center of the water closet shall be located 18 to 21 inches from the side wall and there shall be at least three feet of unobstructed space in front of the bowl. No basic interior room dimension shall be less than three feet, six inches.
The water closet shall be mounted at a height of not less than 16 inches nor more than 19 inches above the floor, measured to the top of seat. The bowl shall be elongated with an open front seat. It is recommended that individual bedpan flushing equipment and lugs be included with all patient water closets serving bedrooms.
The paper holder shall be securely anchored on the side wall near the water closet, six inches above the seat, and six to 12 inches in front of the seat with both dimensions measured to the center of the holder.
A vertical grab bar, at least 18 inches long, shall be provided on the side wall near the water closet. The low end shall be mounted at a height of ten inches above the toilet seat and at a distance of 12 inches in front of the seat. A grab bar on each side of the water closet is recommended.
Grab bars shall have an outside diameter of one and one-half inches, and shall provide a clearance of one and one-half inches between the bar and the wall. Bars shall be securely anchored to sustain a load of 250 pounds for five minutes.
The lavatory, with or without a counter top, shall be mounted at a height of 32 inches above the floor, measured to the top edge.
A towel bar for patients shall be provided at a height of 42 inches above the floor. It shall be a horizontal grab bar, securely anchored.
A mirror shall be provided.
A small shelf for personal toilet accessories shall be provided, unless such space is provided by a suitable lavatory or a counter.

4660.2610 SPECIAL TOILET ROOMS, NEW CONSTRUCTION.

Toilet rooms for wheelchair users shall be arranged to allow wheelchair movement for both the frontal and the oblique angle approach. It is recommended that the room also be designed for lateral transfer of wheelchair users.
The door opening shall be at least two feet, eight inches wide, and shall be located within an area in front of the water closet.
The center of the water closet shall be located 18 inches from the side wall, and there shall be at least four feet of unobstructed space in front of the bowl. No basic interior room dimension shall be less than five feet, six inches.
D. The water closet shall be mounted at a height of 18 to 19 inches above the floor measured to the top of the seat. The bowl shall be elongated with an open front seat.
E. The paper holder shall be securely anchored on the side wall near the water closet, six inches above the seat, and six to 12 inches in front of the seat with both dimensions measured to the center of the holder.
An L-shape grab bar, each leg at least 18 inches long, shall be provided, securely anchored, on the side wall near the water closet. The low end of the vertical leg shall be mounted at a height of ten inches above the toilet seat and at a distance of 12 inches in front of the seat, and the horizontal bar shall extend toward the back wall.
A horizontal grab bar, braced for vertical and lateral loads, and projecting 16 inches out from the back wall, shall be located at the open, opposite side of the water closet. It shall be without floor supports and shall be mounted at a height of ten inches above the toilet seat and at a distance of four to six inches away from the edge of the toilet seat.
Grab bars shall have an outside diameter of one and one-half inches, and shall provide a clearance of one and one-half inches between the bar and the wall. Bars shall be securely anchored to sustain a load of 250 pounds for five minutes.
The lavatory, with or without countertop, shall be accessible and shall not interfere with general wheelchair movements. It shall be mounted at a height of 32 inches above the floor, measured to the top edge, and shall provide a vertical free clearance of at least 26 inches for knee space. A standard type lavatory which meets these conditions is acceptable.
A towel bar for patients shall be provided at a height of 42 inches. It shall be a horizontal grab bar, securely anchored.
The bottom of the mirror shall be placed at a height of 36 inches and the top at a height of at least 66 inches.
A small shelf for personal toilet accessories shall be provided at a height of 32 to 36 inches, unless such space is provided by a suitable lavatory or a counter.

4660.2620 PATIENT TOILET BATH COMBINATIONS.

4660.2630 CENTRAL BATHING AREA.

In bathing areas with more than one fixture, each bathtub or shower area shall be provided with privacy curtains and/or wall dividers.
Bathtubs and showers shall be provided with a non-slip bottom or floor surface, and at least one grab bar, securely anchored, shall be provided at each fixture.
There shall be convenient access to toilet facilities. If a water closet is located within an open area with multiple bathing fixtures, the toilet area shall be provided with privacy curtains or stall partitions. Such a toilet facility shall not be for general use by patients outside the bathing area.
All bathtub and shower areas shall be designed for assisted bathing.
The bathing area shall have direct access to a toilet room without going through the general corridor, and the toilet room shall allow space for assistance of patients; see part 4660.2600 or 4660.2610.
If towel bars are provided, they shall be horizontal grab bars, securely anchored.
Central showers shall not be less than four feet by four feet or four feet, six inches by three feet, six inches with the long side open, without a curb, and with a 32-inch-high splash protection.
The shower area shall have the controls located near the splash protection for easy reach by both patient and attendant, and the floor drain shall be located near the rear wall.
A flexible hose hand shower shall be provided, and soap holders shall be without handles and be recessed.
A vertical, non-slip grab bar, 24 inches long, shall be provided at the shower and at the shower entrance location. The low end of the grab bar shall be three feet above the floor. Horizontal grab bars inside wet areas shall be mounted at a height of four feet, six inches above the floor.
A folding shower seat, 16 inches deep and 19 inches above the floor, is recommended for use by ambulatory patients.
The elevated tub shall be free-standing not more than 32 inches high and shall provide at least three feet of working space for the attendant on one side, and at least four feet at the end and on the opposite side for a chair lift.
A pedestal being used to elevate a standard type bath tub shall be provided with a finished cleanable surface, and include a toe space.
A flexible hose hand shower shall be provided, and the soap holder shall be without handle and be recessed.
A vertical, non-slip grab bar, 24 inches long, shall be provided on each side of the tub at the head end. The low end of the grab bar shall be three feet above the floor or four inches above the rim of the tub.

4660.2640 TOILET TRAINING ROOM.

The toilet training room shall be accessible from the general corridor. The space shall provide for a three-foot, six-inch clearance at the sides of the water closet, four feet at the front.
The water closet shall be mounted at a height of 18 to 19 inches, measured to the top of the seat. A lavatory with institutional fittings shall be provided, but shall be located outside the wheelchair clearance limits.

4660.2700 STORAGE ROOM, NEW CONSTRUCTION.

4660.2800 JANITOR'S CLOSET, NEW CONSTRUCTION.

4660.2900 DRINKING FOUNTAINS, NEW CONSTRUCTION.

4660.3000 ROOM NUMBERING, EXISTING AND NEW.

4660.3100 STAFF HOUSING, EXISTING AND NEW.

4660.3200 MECHANICAL AND ELECTRICAL SYSTEMS, EXISTING AND NEW.

4660.3300 APPLICABILITY.

4660.3400 BEDROOM CAPACITIES, NEW CONSTRUCTION.

4660.3410 LOCATION OF BEDROOMS, EXISTING AND NEW.

4660.3420 USABLE FLOOR AREA.

4660.3430 BED ARRANGEMENT.

4660.3440 WINDOWS, NEW CONSTRUCTION.

4660.3450 BEDROOM DOORS, NEW CONSTRUCTION.

4660.3460 CLOTHES CLOSET.

4660.3470 CUBICLE CURTAINS, EXISTING AND NEW.

4660.3500 CORRIDORS, NEW CONSTRUCTION.

4660.3600 ATTENDANTS' STATION.

4660.3700 CLEAN LINEN STORAGE, EXISTING AND NEW.

4660.3800 NOURISHMENT AREA, NEW CONSTRUCTION.

4660.3900 SANITARY FIXTURES.

4660.4000 PROVISION OF RESIDENT TOILET ROOMS, NEW CONSTRUCTION.

4660.4100 TOILET ROOM LAYOUT, NEW CONSTRUCTION.

4660.4110 RESIDENT TOILET-BATH COMBINATIONS.

4660.4120 CENTRAL BATHING AREA.

4660.4200 STORAGE ROOM, NEW CONSTRUCTION.

4660.4300 JANITOR'S CLOSET, NEW CONSTRUCTION.

4660.4400 DRINKING FOUNTAINS, NEW CONSTRUCTION.

4660.4500 ROOM NUMBERING, EXISTING AND NEW.

4660.4600 STAFF HOUSING, EXISTING AND NEW.

4660.4700 MECHANICAL AND ELECTRICAL SYSTEMS, EXISTING AND NEW.

SUPPORTIVE SERVICE AREAS

4660.4810 DINING AND ACTIVITY AREAS, REQUIRED FLOOR AREA.

4660.4820 DAYROOMS, NEW CONSTRUCTION.

4660.4830 DINING AREA, NEW CONSTRUCTION.

4660.4840 ACTIVITIES AREA, NEW CONSTRUCTION.

DIETARY FACILITIES

4660.4900 KITCHEN AREA, NEW CONSTRUCTION.

4660.4910 FOOD SERVICE EQUIPMENT.

4660.4920 DISHWASHING AREA, NEW CONSTRUCTION.

Soiled dishes shall arrive at the soiled dish counter without passing through the clean dish side of the dishwashing area or through the food preparation area of the kitchen. The soiled dish counter shall include provisions for prerinse of dishes and disposal of garbage.
Facilities with more than 30 beds shall be provided with a commercial hood type or conveyor dishwasher. The area containing the dishwasher and the soiled dish spray rinse shall be separated from the food preparation area and the clean dish storage area by a wall protection.
In facilities with 30 beds or less, a commercial type under-counter type dishwasher shall be a minimum requirement.

Clean dishes shall be returned directly from the clean dish counter to a clean area for storage. The clean dish counter shall not be less than four feet long in facilities with pass-through type dishwashers. If necessary, provision shall be made for the return of empty dish racks to the dishwasher area.

STAT AUTH: MS s 144.56; 144A.02 to 144A.08

4660.4930 WASHING OF FOOD CARTS, NEW CONSTRUCTION.

4660.4940 WASHING OF GARBAGE CANS, NEW CONSTRUCTION.

4660.5000 THE LAUNDRY, SIZE AND LOCATION.

4660.5010 SOILED LINEN COLLECTION ROOM.

4660.5020 LAUNDRY PROCESSING ROOM, NEW CONSTRUCTION.

4660.5030 LAUNDRY EQUIPMENT, EXISTING AND NEW.

4660.5040 CLEAN LINEN ROOM, EXISTING AND NEW.

4660.5050 LAUNDRY FOR PERSONAL CLOTHING, EXISTING AND NEW.

4660.5100 CENTRAL STORAGE, NEW CONSTRUCTION.

4660.5200 REFUSE AREA, EXISTING AND NEW.

4660.5300 YARD EQUIPMENT, NEW CONSTRUCTION.

4660.5400 MAIN ENTRANCE AREA, NEW CONSTRUCTION.

4660.5500 ADMINISTRATION, NEW CONSTRUCTION.

4660.5600 FACILITIES FOR PERSONNEL, EXISTING AND NEW.

4660.5700 PLUMBING, VENTILATION, AND LIGHTING, EXISTING AND NEW.

4660.5800 PHYSICAL THERAPY AREA.

4660.5810 BARBER AND BEAUTY SHOP SERVICES.

CONSTRUCTION DETAILS, CHUTES AND ELEVATORS

4660.6000 ACCESS TO FACILITY, NEW CONSTRUCTION

4660.6100 AREA HEAT PROTECTION, EXISTING AND NEW.

4660.6200 CEILINGS.

Boiler room ceilings shall be at least five feet higher than the top of the boiler unit and at least two feet, six inches above the main boiler header and connecting piping with a minimum total height of nine feet.
Ceilings in corridors, storage rooms, patients' toilet rooms, and other minor rooms shall not be less than seven feet, six inches.
Ceilings in all other rooms shall not be less than eight feet.

4660.6300 CLEAN AIR, EXISTING AND NEW.

4660.6400 DOOR HANDLES, NEW CONSTRUCTION.

4660.6500 DUMBWAITERS AND CONVEYORS, NEW CONSTRUCTION.

4660.6600 ELEVATORS, NEW CONSTRUCTION.

4660.6700 ELECTRICAL SAFETY, EXISTING AND NEW.

4660.6800 EXTERIOR MECHANICAL SHAFTS, NEW CONSTRUCTION.

4660.6900 FLOORS, EXISTING AND NEW.

4660.6910 FLOOR JOINTS, NEW CONSTRUCTION.

4660.6920 NONSKID SURFACES, EXISTING AND NEW.

4660.7000 GLASS PROTECTION.

4660.7100 THE INCINERATOR, NEW CONSTRUCTION.

4660.7200 LINEN AND TRASH CHUTES, NEW CONSTRUCTION.

4660.7300 OVERHEAD PIPING, NEW CONSTRUCTION.

4660.7400 PROTECTION RAILINGS, NEW CONSTRUCTION.

4660.7500 WALLS.

4660.7600 ELEVATORS IN NEW CONSTRUCTION.

MECHANICAL AND ELECTRICAL SYSTEMS

4660.7800 PLANT OPERATION AND MAINTENANCE FOR EXISTING AND NEW
CONSTRUCTION.

4660.7900 BUILDING CONSTRUCTION, NEW CONSTRUCTION.

4660.8000 PLUMBING, NEW CONSTRUCTION.

4660.8010 PLUMBING, NEW CONSTRUCTION FOR NURSING HOMES.

4660.8200 HEATING AND COOLING, NEW CONSTRUCTION.

VENTILATION

4660.8300 DESIGN AND INSTALLATION, NEW CONSTRUCTION.

4660.8310 VENTILATION REQUIREMENTS.

4660.8320 FRESH AIR INTAKES, NEW CONSTRUCTION.

4660.8330 HEIGHT OF REGISTERS, NEW CONSTRUCTION.

4660.8340 FILTERS, NEW CONSTRUCTION.

4660.8350 DIETARY AREA, NEW CONSTRUCTION.

4660.8360 LAUNDRY AREA, NEW CONSTRUCTION.

4660.8370 MECHANICAL ROOMS, NEW CONSTRUCTION.

4660.8380 VENTILATION REQUIREMENTS FOR NURSING HOMES.

Subpart 1. Application. Subparts 2 and 3 apply to nursing homes only.

Subp. 2. Filters, new construction. When central air systems are installed, outside air for use in patient areas shall pass through filters rated at a minimum efficiency of 30 percent based on the National Bureau of Standards Dust Spot Test Method with Atmospheric Dust. Filter frames shall be durable and carefully dimensioned and shall provide an airtight fit with the enclosing ductwork.

Subp. 3. Sterilizer room, new construction. A separate room with a large autoclave shall be provided with supply and exhaust ventilation. If an autoclave is built into a separate equipment room, the equipment room shall be provided with exhaust ventilation.

STAT AUTH: MS s 144.56; 144A.02 to 144A.08

ELECTRICAL SYSTEMS

4660.8410 ELECTRICAL SYSTEMS, INSTALLATION AND EQUIPMENT FOR NEW CONSTRUCTION.

4660.8420 DISTRIBUTION PANEL BOARDS.

4660.8430 CORRIDOR RECEPTACLES, NEW CONSTRUCTION.

4660.8440 SWITCHES AND RECEPTACLES, NEW CONSTRUCTION.

4660.8450 INTERIOR LIGHTING.

30 footcandles for all reading surfaces or locations
20 footcandles at work or activity surfaces in kitchen and laundry;
Ten footcandles for all other areas, such as bedrooms, dining areas, dayrooms, bathrooms, toilets, corridors, and service stairways; and
five footcandles for exit stairways, mechanical equipment rooms, and storage areas.

4660.8460 FIRE ALARM SYSTEMS, EXISTING AND NEW.

4660.8500 APPLICABILITY.

4660.8510 INTERIOR LIGHTING.

30 footcandles at the charting desk and at the medicine preparation surface; and
20 footcandles at work surfaces in the medicine storage room, utility rooms, physical therapy, and examination room.

4660.8520 BEDROOM RECEPTACLES, NEW CONSTRUCTION.

4660.8530 NIGHT LIGHTS, NEW CONSTRUCTION.

4660.8540 NURSE CALL SYSTEM.

4660.8550 PATIENTS' SECURITY SIGNAL, EXISTING AND NEW.

4660.8560 EMERGENCY ELECTRIC SERVICE, EXISTING AND NEW.

a battery-operated system with automatic controls and recharging if effective for four or more hours; or
an on-site emergency generator.

4660.8610 CODES AND REGULATIONS, NEW CONSTRUCTION.

State Building Code, chapters 1300 to 1365, 1971 edition. Available from the Print Communications Division, 117 University Avenue, Saint Paul, Minnesota 55155.
Minnesota Plumbing Code, 1969 edition. Available from the Print Communications Division, 117 University Avenue, Saint Paul, Minnesota 55155.
Equipment Standards by the National Sanitation Foundation:
Standard No. 2, Food Service Equipment, April 1965;
Standard No. 3, Spray-Type Dishwashing Machines, April 1965;
Standard No. 4, Commercial Cooking & Warming Equipment, April 1970;
Standard No. 5, Commercial Hot Water Generating Equipment, January 1959;
Standard No. 6, Dispensing Freezers, July 1970;
Standard No. 7, Food Service Refrigerators & Storage Freezers, April 1966;
Standard No. 8, Commercial Powdered Food Preparation Equipment, April 1965;
Standard No. 12, Automatic Ice-Making Equipment, June 1964;
Standard No. 25, Vending Machines for Food & Beverages, August 1968;
Standard No. 26, Pot, Pan, and Utensil Washers, July 1970;
Standard No. 29, Detergent and; Chemical Feeders for Commercial Spray-Type Dishwashing Machines, September 1969;

D. Vending Machines, State Health Department Regulation No. 10950, November, 1966.

E. "Illuminating Engineering Society, Lighting Handbook, 1966."

F. Non-flammable Medical Gas Systems, National Fire Protection Association, NFPA No. 56F, 1970 edition.

G. State of Minnesota rules of the Department of Labor and Industry, Occupational Safety and Health Rules, January 1971. Available from the Print Communications Division, 117 University Avenue, Saint Paul, Minnesota 55155.

H. Air Pollution Control Rules, Regulations, and Air Quality Standards, 1969 edition. Available from the Print Communications Division, 117 University Avenue, Saint Paul, Minnesota 55155.

4660.8700 DEFINITION OF INTERMEDIATE CARE FACILITY.

4660.9900 MINIMUM ILLUMINATION LEVELS.

AREA	GENERAL ILLUMINATION	SPECIAL ILLUMINATION
Exit stairways, central storage, mechanical equipment room	5
Bedrooms	10	30 (reading)
Corridors, stairways, janitor's closet, dietary storage, clean linen closet	10
Dayroom, Dining Room	20	30 (reading)
Activity Area	30	100 (work Tables)
Toilet, bathing, dietary area, laundry processing room, soiled linen collection room	30
Barber and beauty room	50

4660.9910 MINIMUM ILLUMINATION LEVELS.

AREA	GENERAL ILLUMINATION	SPECIAL ILLUMINATION
Nurse Station	20 (night) 50 (day	70 (desk)
Medication area, clean utility room, Sterilizer room	30	100 (cabinet) 100 (counter)
Soiled utility room	20
Physical therapy area	20	30 (treatment area)
Examination and treatment room	50	100 (examination table)

4660.9920 NURSE CALL SYSTEM.

TYPE OF SIGNAL	ROOM OR AREA
Nurse Call	Patient Rooms
Emergency Call	Patient's toilets, patient's bathing and training toilet room
Duty Signal	Medication room, nourishment area, clean utility room, soiled utility room, sterilizing room

Note: An emergency call is recommended for the following areas: