CODI: Cornucopia of Disability Information

MEDICAL CARE FACILITIES

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6.  MEDICAL CARE FACILITIES.

6.1 General.  Medical care facilities included in this section are those in
which people receive physical or medical treatment or care and where persons
may need assistance in responding to an emergency and where the period of stay
may exceed twenty-four hours.  In addition to the requirements of 4.1 through
4.35, medical care facilities and buildings shall comply with 6.

  (1) Hospitals - general purpose hospitals, psychiatric facilities,
detoxification facilities - At least 10 percent of patient bedrooms and
toilets, and all public use and common use areas are required to be designed
and constructed to be accessible.

  (2) Hospitals and rehabilitation facilities that specialize in treating
conditions that affect mobility, or units within either that specialize in
treating conditions that affect mobility - All patient bedrooms and toilets,
and all public use and common use areas are required to be designed and
constructed to be accessible.

  (3) Long term care facilities, nursing homes - At least 50 percent of
patient bedrooms and toilets, and all public use and common use areas are
required to be designed and constructed to be accessible.

  (4) Alterations to patient bedrooms.

   (a) When patient bedrooms are being added or altered as part of a planned
renovation of an entire wing, a department, or other discrete area of an
existing medical facility, a percentage of the patient bedrooms that are being
added or altered shall comply with 6.3.  The percentage of accessible rooms
provided shall be consistent with the percentage of rooms required to be
accessible by the applicable requirements of 6.1(1), 6.1(2), or 6.1(3), until
the number of accessible patient bedrooms in the facility equals the overall
number that would be required if the facility were newly constructed.  (For
example, if 20 patient bedrooms are being altered in the obstetrics department
of a hospital, 2 of the altered rooms must be made accessible.  If, within the
same hospital, 20 patient bedrooms are being altered in a unit that
specializes in treating mobility impairments, all of the altered rooms must be
made accessible.) Where toilet/bath rooms are part of patient bedrooms which
are added or altered and required to be accessible, each such patient
toilet/bathroom shall comply with 6.4.

  (b) When patient bedrooms are being added or altered individually, and not
as part of an alteration of the entire area, the altered patient bedrooms
shall comply with 6.3, unless either: a) the number of accessible rooms
provided in the department or area containing the altered patient bedroom
equals the number of accessible patient bedrooms that would be required if the
percentage requirements of 6.1(1), 6.1(2), or 6.1(3) were applied to that
department or area; or b) the number of accessible patient bedrooms in the
facility equals the overall number that would be required if the facility were
newly constructed.  Where toilet/bathrooms are part of patient bedrooms which
are added or altered and required to be accessible, each such toilet/bathroom
shall comply with 6.4.

6.2 Entrances.  At least one accessible entrance that complies with 4.14 shall
be protected from the weather by canopy or roof overhang.  Such entrances
shall incorporate a passenger loading zone that complies with 4.6.6.

6.3 Patient Bedrooms.  Provide accessible patient bedrooms in compliance with
4.1 through 4.35.  Accessible patient bedrooms shall comply with the
following:

  (1) Each bedroom shall have a door that complies with 4.13.

EXCEPTION: Entry doors to acute care hospital bedrooms for in-patients shall
be exempted from the requirement in 4.13.6 for maneuvering space at the latch
side of the door if the door is at least 44 in (1120 mm) wide.

  (2) Each bedroom shall have adequate space to provide a maneuvering space
that complies with 4.2.3.  In rooms with 2 beds, it is preferable that this
space be located between beds.

  (3) Each bedroom shall have adequate space to provide a minimum clear floor
space of 36 in (915 mm) along each side of the bed and to provide an
accessible route complying with 4.3.3 to each side of each bed.

6.4 Patient Toilet Rooms.  Where toilet/bathrooms are provided as a part of a
patient bedroom, each patient bedroom that is required to be accessible shall
have an accessible toilet/bath room that complies with 4.22 or 4.23 and shall
be on an accessible route.

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