<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".46" citation="COMAR 10.07.02.46" title_num="10" subtitle_num="07" chapter_num="02" heading="Physical Plant — Emergency Power.">
  <paragraph num="A.">
    <text>Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Emergency Electrical Power.</text>
    <paragraph num="(1)">
      <text>The nursing home shall provide emergency electrical power.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Other emergency lighting shall be as follows:</text>
      <paragraph num="(a)">
        <text>Nursing station;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Drug distribution station or unit dose storage;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A lighted area for emergency telephone use;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Boiler or mechanical room;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Kitchen;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Generator set location and switch gear location;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Elevator, if operable on emergency power;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Areas where life support equipment is used;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>If applicable, lighting for the common area of refuge; and</text>
      </paragraph>
      <paragraph num="(j)">
        <text>If applicable, lighting in toilet rooms of the common area of refuge.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Emergency power shall be provided for the:</text>
      <paragraph num="(a)">
        <text>Nurses’ call system;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Duplex receptacles installed 50 feet apart in all corridors in resident areas or appropriately located duplex receptacles in the common area of refuge;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Telephone service with at least one telephone available for incoming and outgoing calls;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Fire pump;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Sewerage pump and sump pump;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Elevator, if required, for evacuation as referenced in NFPA 101 Life Safety Code;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Heating equipment, if applicable, to maintain a minimum temperature of 71°F or 22°C in the common areas of refuge;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Life support equipment;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Nonflammable medical gas systems;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Computer system, if applicable, to enable use of electronic medical records system; and</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Refrigerated medication storage.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Common Area or Areas of Refuge.</text>
      <paragraph num="(a)">
        <text>The nursing home shall provide a common area or areas of refuge in an emergency situation if all resident rooms, day rooms, and toilet rooms are not tied into the emergency generator to provide heat and cooling.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The common area or areas of refuge:</text>
        <paragraph num="(i)">
          <text>Shall be at least 30 square feet per bed, not including corridors;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>May not include toilet rooms in the 30 square feet per bed; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Shall maintain a minimum temperature of 71°F or 22°C and a maximum temperature of 81°F or 27°C.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>The nursing home shall provide heated toilet rooms adjacent to the common areas of refuge.</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The nursing home shall provide a Department-approved written plan that:</text>
        <paragraph num="(i)">
          <text>Defines the specified area of refuge;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Outlines paths of egress from the common areas of refuge; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Describes provisions for light, heat, food service, washing, and toileting residents.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Emergency Power Source.</text>
      <paragraph num="(a)">
        <text>The emergency power source shall be a generating set and prime mover located on the premises with automatic transfer.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The emergency generator shall:</text>
        <paragraph num="(i)">
          <text>In the event of failure of the normal electrical service, be activated immediately;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Come to full speed and load acceptance within 10 seconds;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Have a capacity of 48 hours of operation from fuel stored on-site; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Be tested once a month, for at least 30 minutes under normal emergency nursing home connected load, and the test recorded in a permanent log book maintained for that purpose.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>