(2) Insulation shall be provided for the
following within the building: (Exception 3)
a. Steam supply and condensate return pipe;
(III)
b. Pipe above 125° F, if
it is exposed to contact by residents; (II, III)
c. Chilled water, refrigerant, and other process pipe
and equipment operating with fluid temperatures below ambient dew point;
(III)
d. Water supply and roof
drainage pipe on which condensation may occur; (III)
e. Boilers, smoke-breaching and stacks;
(III)
f. Hot water pipe above
180° F, and all hot water boilers, heaters, and pipe; and (III)
g. Other pipes, ducts, and equipment as
necessary to maintain the efficiency of the system. (Ill)
Insulation including finishes and adhesives on the interior
surface of ducts, pipes, and equipment, shall have a flame-spread rating of 25
or less, and a smoke-develop rating of 50 or less. This shall be determined by
an independent testing laboratory in accordance with National Fire Protection
Association (NFPA) Standard 255, 1984 Edition. (Ill) (Exception 3)
Insulation on cold surfaces shall include an exterior vapor
barrier (III)
(3) The heating system shall be capable of maintaining
a temperature of 78° F. (II, III) The cooling system shall be designed to
maintain all living spaces within the comfort zone. The comfort zone is defined
in the ANSI/American Society of Heating, Refrigeration and Air Conditioning
Engineers (ASHRAE) Standard 55-1981 or the 1985 ASHRAE Fundamentals Handbook.
(Ill) (Exception 4)
a. All air-supply and
air-exhaust systems shall be mechanically operated and shall have ducts from a
central system to and from each room. All fans serving exhaust systems shall be
located at the discharge end of the system. The ventilation rates shown in
Table 2 are minimum acceptable rates, and shall not preclude higher ventilation
rates. (Ill) (Exception 2)
b. The
bottoms of ventilation openings shall be not less than 3 inches above the floor
of any room. (Ill) (Exception 3)
c.
All central systems designed to heat and cool the building with recirculation
of air shall be equipped with a minimum 2-inch deep, 8- to Il-pleat per foot,
class 2 Underwriters' Laboratories, self-extinguishing, nonwoven, cotton,
downstream, or final filter with a minimum efficiency of 25 to 30 percent and
average arrestance of 90 percent, tested in accordance with ASHRAE Standard
52-76. This does not preclude the additional use of a prefilter upstream of the
air-handling equipment to extend the service life of the downstream, or final
filter (III) (Exception 5)
d.
Evaporative cooling shall not be substituted for direct expansion refrigeration
in the air-conditioning system. (Ill) (Exception 4)
e. Any alternate ventilation system designed to attain
an equivalent degree of odor control and purity of air to resident areas shall
be considered for approval under conditions in rules 481-5 8.2(135C) and
481-59.2 (135C). (Ill)
f. Mechanical ventilation over cooking
equipment and dishwashing equipment shall be designed to remove hot air and
inhibit cold air above hot food or dishes. (Ill) (Exception 3)
g. Mechanical ventilation shall be provided
in food storerooms to maintain temperature and humidity for the type of food
being stored. (Ill) (Exception 4) Facilities built before November 21, 1990,
shall provide mechanical ventilation if freezers, refrigerators or compressors
are located in the storeroom.
h.
Outdoor ventilation air intakes shall be at least 25 feet from the exhaust
outlets of any ventilating system, combustion equipment stacks, or noxious
fumes. The bottom of outdoor intakes serving central air systems shall be
located as high as practical, but not less than 6 feet above grade level, or,
if installed through the roof, 3 feet above roof opening. (Ill) (Exception
3)
i. The ventilation system shall
be designed and balanced to provide the general pressure relationship to
adjacent areas shown in the Pressure Relationship and Ventilation Table 2.
Through-the-wall air-conditioning units will not be used to calculate make-up
air. (Ill) (Exception 2)
j.
Corridors, attics or crawl spaces shall not be used as a plenum to supply air
to or exhaust air from any rooms. (Ill) (Exception 3)
k. The air system for resident rooms, between
smoke-stop partitions, shall be operated with common switches. (Ill) (Exception
3)
l. If the fire alarm system is
activated, the air distribution system shall shut down. (Ill)
m. Air-handling duct systems shall meet the
requirements of 1987 NFPA Standards 90A and 90B. Supply and return registers
shall not be at the same level and shall be designed to inhibit stratification.
(Ill) (Exception 4)
n. Fire and
smoke dampers shall be constructed, located and installed in accordance with
the requirements of 1987 NFPA Standard 90A, 90B and 101.
o. Range and dishwasher exhaust hoods in food
preparation centers shall have a minimum exhaust rate of 60 cubic feet per
minute per square foot of hood face area. Face area is the open area from the
exposed perimeter of the hood to the average perimeter of the cooking surfaces.
(Exception 4)
(1) All hoods over cooking
ranges shall be equipped with grease filters, a fire extinguishing system, and
heat-activated fan controls.
(2)
Openings for cleaning shall be provided every 20 feet in horizontal exhaust
duct systems serving hoods.
(3)
Conditioned air shall be supplied to balance exhausted air.
(4) Special hood designs shall be evaluated. (Ill)
(Exception 4)
p. Rooms
containing fuel-fired heating units or other fuel-fired equipment shall be
provided with sufficient outdoor air to maintain combustion rates of equipment
and reasonable temperatures in the room and in adjoining areas. (Ill)
(Exception 3)
q. Filter beds shall
be located upstream of the air-conditioning equipment unless a prefilter is
employed. A prefilter shall be upstream of the equipment. The main filter bed
may then be located farther downstream.
(1)
Filter frames shall be durable and carefully dimensioned and shall provide an
airtight fit within enclosing duct work.
(2) All joints between filter segments and the
enclosing duct work shall have gaskets or be sealed to provide a positive seal
against air leakage. (Ill) (Exception 2)
r. All perimeter duct work under the slab shall be
encased in lightweight or insulating concrete and sloped to a plenum low point.
(Ill) (Exception 3)
s. laundry
rooms shall be supplied with sufficient conditioned outside air to balance the
amounts exhausted or used for combustion. (Ill) (Exception 3)
t. The amounts of air and pressure
relationship set forth in Table 2 shall be provided. (Ill) (Exception
3)
u. Condensate piping from
cooling coils shall be a minimum of of an inch inside diameter and provided
with openings for cleaning every 10 feet. (Ill) (Exception 4)
v. Attics or crawl spaces shall not be used
to house heating or cooling equipment. (Ill) (Exception 3)
w. Rooms used for heating and cooling equipment must
be accessible through a swinging door (III) (Exception 3)
Table 2
PRESSURE RELATIONSHIPS AND VENTILATION OF CERTAIN AREAS OF
NURSING FACILITIES
|
Area Design |
Pressure Relationship to Adjacent Areas |
Minimum Air Changes of Outdoor Air Per Hour Supplied to
Room |
Minimum Total Air Changes Per Hour Supplied to Room
|
All Air Exhausted Directly to Outdoors |
|
|
Resident Room |
E |
2 |
2 |
Opt. (#1) |
|
|
Resident Area Corridor |
E |
2 |
2 |
Opt. (#3) |
|
|
Physical Therapy |
N |
2 |
6 |
Opt. (#1) |
|
|
Soiled Work Area or Soiled Holding |
N |
2 |
10 |
Yes |
|
|
Toilet Room |
N |
Opt. (#1) |
10 |
Yes |
|
|
Bathroom |
N |
Opt. (#3) |
10 |
Yes |
|
|
Housekeeping Closet |
N |
Opt. (#3) |
10 |
Yes |
|
|
Food Preparation Area |
E |
2 |
10 |
Yes |
|
|
Warewashing Room |
N |
Opt. (#2) |
10 |
Yes |
|
|
Laundry, General |
E |
2 |
10 |
Opt. (#4) |
|
|
Soiled Linen Sorting and Storage Area |
N |
Opt. (#4) |
10 |
Yes |
|
|
Employees' Lounge |
N |
2 |
6 |
Yes |
|
|
Lounge |
N (#5) |
2 |
6 |
Yes (#5) |
|
|
*Designated Smoking Areas |
N |
2 |
6 |
Yes |
|
P = Positive N = Negative E = Equal Opt. = Optional
#1 Room may be exhausted through adjoining toilet
room.
#2 Make-up air may be supplied through kitchen.
#3 Corridor may be exhausted through adjoining service
areas.
#4 Laundry may be exhausted through the soiled area.
#5 Pressure relationships in lounges are subject to Exception
4.
* Exception 4
(4) Every facility shall have a complete interior
plumbing system. (I, II, III)
a. All plumbing
and other pipe systems shall be installed in accordance with the requirements
of the Iowa state plumbing code and applicable provisions of local ordinances.
(II, III)
b. All pipes below grade
or in concrete slabs shall be type K, soft copper There shall be no joints
below the slab.
c. Water supply
systems shall meet the following requirements:
(1) All facilities shall have a potable water source
from a city water system or a private source which complies with the
regulations and is approved by the department of natural resources. (I, II,
III)
(2) Systems shall be designed
to supply water to the fixtures and equipment at a minimum pressure of 15
pounds per square inch during maximum demand periods. (Ill)
(3) Plumbing fixtures in janitors' rooms and soiled
workrooms shall be provided with hot water (III)
(4) Each water service main and branch main shall have
valves. Stop valves shall be provided at each fixture. Bathtubs or showers
shall be equipped with screwdriver stop valves. (Ill) (Exception 2)
(5) Backflow preventers (vacuum breakers)
shall be installed on hose bibbs, janitors' sinks, bedpan flushing attachments,
hair care sinks, and on all other threaded fixtures to which hoses or tubing
can be attached. (I, II, III)
(6)
Water softeners shall not supply cold water to the kitchen, drinking fountains,
or ice machines. (Ill) (Exception 4)
(7) Hot water distribution systems shall provide hot
water as specified at each hot water outlet at all times. (See Table 3) A
circulating pump in a hot water system shall meet these requirements. A
circulating pump is not required in facilities licensed for 15 or fewer beds.
(Ill)
(8) The hot water system
shall be designed to supply 110° F to 120° F water to all resident
lavatories, tubs and showers. (II, III)
Table 3 HOT WATER USE
|
|
Resident Areas |
Dietary |
Laundry |
|
|
Gallons per hr. per bed** |
3 |
2 |
2 |
|
|
Temperature (°F) |
110 |
120* |
|
|
*Provisions shall be made to provide 180°F rinse water at
dishwasher (May be provided by a separate booster heater)
** Quantities indicated for design demand of hot water are
for general reference minimums and shall not substitute for accepted
engineering design procedures using actual number and types of fixtures to be
installed. Design shall also be affected by temperatures of cold water used for
mixing, length of run, and insulation relative to heat loss or other factors.
As an example, the total quantity of hot water needed will be less when the
temperature available at the outlet is very nearly that of the source tank and
the cold water used for tempering is relatively warm.
(9) Rescinded lAB 10/7/09, effective
11/11/09.
d. Drainage
systems shall meet the following requirements:
(1) Sewage shall be collected and disposed of in a
manner approved by the department. Disposal into a municipal system meets this
requirement. (Ill)
(2) Private
sewage systems shall conform to rules promulgated by the department of natural
resources. (Ill)
(3) Drainage pipes
which pass above food preparation, serving, and food storage areas shall be
enclosed. (Ill)
(4) Plastic pipe
may be used in any drain-waste-vent system in accordance with the state
plumbing code 641-Chapter 25.{Ill)
(5) Openings for pipe cleaning shall be no more than
50 feet apart in a horizontal drain line. (Ill) (Exception 2)
(6) Floor drains with appropriate grates
shall be provided for all mechanical equipment rooms, laundries, kitchens,
dishwashing areas, soiled utility rooms, basement floors, any other area where
water may collect on the floor, shower stalls and in front of showers or bath
units. (Ill) (Exception 4)
(7)
foundation drains shall be provided in accordance with subrule 61.3(9). (Ill)
(Exception 4)