Nursing Home Design Guide
2006
of design features are identified herein
that address issues of Nursing Home
residents and of the safety of staff
assistants. Several of these may
require advance review with or approval
from authorities with jurisdiction over the
proposed Nursing Home. To benefit
both residents and staff, project design
teams are advised to address these
issues early in project planning.
1. Application of ADA Architectural
Guide (ADAAG)
Strict application of State Building
Code's ANSI A117.1 would require an
18" [457 mm] dimension from the center
Figure 3.8
line of the toilet to the face of the side
Fold-up Toilet Room Grab Bars
wall. Such interpretation responds to
research involving wheelchair
occupants, typically those with upper
2. Design Issues for Jurisdictional
body strength, not unlike that of robust
Review
younger veterans, and the potential
needs for a self-propelled, side or
Toilets
parallel transfer or similar maneuver.
This Design Guide includes
Such individuals should be
illustrations showing flush-valve
accommodated, as should the
toilets. In some jurisdictions, and
predominant population of Nursing
where available water pressures
Home residents such as those needing
allow, tank-style toilets may be
space for staff assistance at either side.
considered in order to provide
quieter operation and a more familiar
The dimension of approximately 2'-8"
and residential appearance. Wall-
[813 mm] from the centerline of the toilet
hung, tank-style toilets with back
to the sidewall or other obstruction (such
outlets are available, thus
as the edge of a sink, vanity or tissue
maintaining housekeeping goals,
holder) allows space for a standing staff
including easy access for floor
member, wheelchair or lift. This will
cleaning under and around the
exceed the 18" [457 mm] requirement
fixture, without compromising
but allows space for the standing and
objectives of non-intrusive toilet use
bending of assistant(s) and the use of
by other residents.
lifts.
Omission of In-Room Bedpan
Washing
Grab-rail needs of residents should be
Due to low volumes of use and
met with fold-up bars, which provide
disposable alternatives, requests are
flexibility for staff and residents to use a
commonly made to omit bedpan
variety of transfer methods and devices.
washing and sanitizing facilities in
(See Figure 3.8)
resident bathrooms. Standard
Office of Facilities Management
3 - 12
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