Healthcare Facilities

Physical Plant Requirements for Residential Care Facilities and Assisted Living Facilities

MO. Code Statute of Regulations Title 19 Chapter 30 Section 86.032

“(13) In facilities that are constructed or have plans approved after July 1, 2005, electrical wiring shall be installed and maintained in accordance with the requirements of the National Electrical Code, 1999 edition, National Fire Protection Association, Inc., incorporated by reference, in this rule and available by mail at One Batterymarch Park, Quincy, MA 02269, and local codes. This rule does not incorporate any subsequent amendments or additions to the materials incorporated by reference. Facilities built between September 28, 1979 and July 1, 2005 shall be maintained in accordance with the requirements of the National Electrical Code, which was in effect at the time of the original plan approval and local codes. This rule does not incorporate any subsequent amendments or additions. In facilities built prior to September 28, 1979, electrical wiring shall be maintained in good repair and shall not present a safety hazard. All facilities shall have wiring inspected every two (2) years by a qualified electrician. II/III
(14) Lighting is restricted to electricity. II
(15) Lighting in hallways, bathrooms, recreational and dining areas and all resident-use areas shall be provided with a minimum intensity of ten (10) footcandles. All lights in resident-use areas shall be provided with a shade to prevent direct glare to the residents’ eyes. II/III
(16) Night lights shall be provided for corridors, stairways and toilet areas. II
(17) A reading light shall be provided for each resident desiring to read. Additional lighting shall be provided to meet the individual needs of each resident. III
(18) If extension cords are used, they must be Underwriters’ Laboratory (UL)-approved or shall comply with other recognized electrical appliance approval standards and sized to carry the current required for the appliance used. Only one (1) appliance shall be connected to one (1) extension cord and only two (2) appliances may be served by one (1) duplex receptacle. If extension cords are used, they shall not be placed under rugs, through doorways or located where they are subject to physical damage. II/III
(19) If elevators are used, installation and maintenance shall comply with local and state codes and the National Electric Code. II/III”).

Terrell Electric, LLC performs an in-depth and thorough electrical inspection to satisfy all requirements and conditions.  Our detailed report will enable the facility to develop a corrective action plan. NFPA 99, Health Care Facilities Code, Section states that receptacles not listed as hospital-grade, at bed locations, and in locations where deep sedation or general anesthesia is administered must be tested at intervals not exceeding 12 months.

NFPA 99-2012, outlines the requirements for receptacle testing in patient care spaces, summarized as:

  • The physical integrity of each receptacle.
  • The continuity of the grounding circuit in each receptacle.
  • The correct polarity of the Hot and Neutral connections in each receptacle.
  • The Retention Force of the grounding blade of each receptacle
    • except for locking-type receptacles
    • shall be not less than 115 grams (4 ounces)

NFPA 70-2011, Article 511.18(c) requires tamper-resistant receptacles in pediatric locations of health care facilities, including patient rooms, bathrooms, playrooms, activity rooms, and patient care areas designated as pediatric locations.  It should be noted that an approved listed tamper-resistant cover may be used, as long as the listing authority is an independent third party, such as Underwriters Laboratories.  Many facilities have decided to place these in waiting areas since children are likely to be there at times.

NFPA 70-2011, Article 517.17(D), requires the ground-fault circuit interrupter (GFCI) receptacles to be tested upon the initial installation, but there is nothing mentioned about annual or monthly testing requirements.  However, the manufacturer’s recommendations in CFR Section 482.41(c)(2) interpretive guidelines state that hospitals must follow the manufacturer’s recommendations for maintenance activities, or they must comply with the alternate equipment management (AEM) program.  GFCI outlets are to be inspected and tested monthly in accordance with the manufacturer’s recommendations, which are based on UL 943.

Lighting Fixtures $1.00 per Fixture
Emergency Lighting Fixtures $1.50 per Fixture
Receptacle Tension Test $2.50 per Receptacle
Common Bathroom $5.00 per Bathroom
Common Area/Day Room $10.00 per Room
Infrared Inspection of Panel $10.00 per Circuit
Patient Room $15.00 per single-occupant room
Generator $25.00 to Cycle and Test
Kitchen Area $25.00
Generator Oil Replacement $150.00 to replace Air/Oil Filters and Oil
Fee Schedule