3.2 Appendix Table Care Model Characteristics

Appendix Table A3.2-a: Hospice Care Model Characteristics Unit Type Typical # of Units Food Service/Dining Resident Room Bathing Facilities Design Drivers 1. Participation of integrated medical-based team 2. Palliative care focus All unit types 3. Provision of end-of-life support 4. Support for quality of life 5. Maintenance of personal dignity Adult day care Day services with Decentralized Primarily private spaces Central bathing facility 1. Facility design should encourage mobility of hospice private spaces located within sight lines participants. for ambulatory of staff 2. Access to outdoor space should be provided. hospice patients 3. Resident Hospice patient-operated mobility device participants in Access to toilet room access should be provided at the entrance. adult day care from space, without 4. A security system and/or operational process for settings entering adult day care safety should be provided for participants with facility activity or dining dementia. areas 5. A covered drop-off and pickup area for participants should be provided. [Does not include 6. See Chapter 5.2 (Specific Requirements for Adult sleeping Day Care and Adult Day Health Care Facilities) for accommodations for additional information and requirements. visitors in Section 3.3- 2.2.2.2 (4)] Small ambulatory 6–15 16 private Centralized with Private rooms with Central or decentralized 1. Facility design should encourage mobility of residential rooms in a small warming/serving private bath and toilet bathing facilities for participants. hospice facilities for kitchen unless justified by the residents hospice patients 2. Access to outdoor space should be provided. ambulatory functional program and 3. Hallways/corridors should be sized to accommodate residents hospice Dining may be approved by the AHJ [in Shower provided for staff gurneys. patients centralized and/or in accordance with Section 4. A nurse call system is required. room 3.3-2.2.1 (Resident Shower provided for family 5. Parking should be provided for ambulatory residents Unit—General)] (if showers not provided in hospice patients. residents hospice patient rooms)

DRAFT 2022 FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities 1 3.2 Appendix Table Hospice Care Model Characteristics

Small non- 6–15 16 private Decentralized with Private rooms with Central or decentralized 1. Hallways/corridors should be sized to accommodate ambulatory rooms in a small public (family/visitor) private toilet room bathing facilities for the bed-turning radius of resident hospice patient inpatient group home that ice dispenser access residents hospice patients beds. residential care may have a 2. A nurse call system is required. hospice facilities combination of Shower provided for staff 3. A private staff reporting area should be provided. non-ambulatory 4. Access to oxygen should be provided. and ambulatory Shower provided for residents hospice family, if showers not patients provided in residents hospice patient rooms Freestanding 16 17 or more Nourishment Private rooms with Decentralized 1. Corridors should have a minimum width of 8’-0” hospice facilities beds in a large Household kitchen with private bath and toilet (2.44 meters). Handrails should be installed in group home family access that unless justified by the Shower provided for staff corridors. setting includes coffee-maker functional program and 2. Access to oxygen should be provided. or automatic coffee approved by the AHJ in Shower provided for 3. A nurse call system is required. dispenser, refrigerator, accordance with Section family, if showers not 4. Separate areas should be provided. microwave, and 3.3-2.2.1 (Resident provided in resident 5. An area for staff overnight stay should be provided dispensing ice machine Unit—General) hospice patient rooms for emergency use. 6. At least one private dining room should be provided Decentralized facilities Includes multiple- for family members who need respite. (Typically, or centralized facilities occupancy rooms under staff eats in a break area, family members eat in with warming/serving special circumstances for resident hospice patient rooms, and residents kitchen with catering indigent care with hospice patients eat in bed.) contract approval of local authorities Dining may be centralized and/or in room Hospital-based Any number of Nourishment Primarily private or Central or decentralized 1. Corridors should have a minimum width of 8’-0” hospice facilities beds housed in a Household kitchen with semi-private rooms with bathing facilities for (2.44 meters). Handrails should be installed in hospital setting, family access that private toilet room residents hospice patients corridors. usually in a includes coffee-maker 2. Access to oxygen should be provided. dedicated or automatic coffee Private rooms are Shower provided for staff 3. A nurse call system is required. nursing unit, dispenser, refrigerator, recommended to allow 4. A hospice nurse station should be provided separate wing, or other microwave, and for family members and Shower provided for from any hospital nurse stations. section of the dispensing ice machine visitors, overnight stays, family, if showers not 5. Separate family support areas should be provided. hospital (may be shared with and privacy. provided in resident family room) hospice patient rooms

Decentralized facilities or centralized facilities with warming/serving

DRAFT 2022 FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities 2 3.2 Appendix Table Hospice Care Model Characteristics

kitchen with catering contract

Assisted living Any number of Nourishment kitchen, Primarily private or Central or decentralized 1. Hallways/corridors should be sized to accommodate facility setting - beds housed in a which may be shared semi-private rooms with bathing facilities for the bed-turning radius of residents hospice patients or - nursing home with family room private toilet room residents hospice patients beds. based hospice setting; may be 2. A nurse call system is required. facilities in a dedicated Decentralized or Private rooms are Shower provided for 3. A private staff reporting area should be provided. wing or section centralized with a recommended to allow family, if showers are not 4. Access to oxygen should be provided. of the nursing warming/serving for family members and provided in residents 5. A hospice nurse station/staff area should be home or assisted kitchen visitors, overnight stays, hospice patient rooms provided separate from nursing home or facility and privacy. living nurse stations/staff areas. setting 6. Separate family support areas should be provided.

Home-based Services provided Decentralized Resident rooms or Decentralized bathing hospice services to residents living dwelling units in existing facilities for residents in a care and in independent assisted living or support facility or assisted living (distinguished setting settings from home-based and private home Resident unit, care mentioned in resident room, or appendix section dwelling unit in a A3.2-1) residential independent living or assisted living unit

DRAFT 2022 FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities 3