(a) Each residential long-term care facility must establish and conduct a housekeeping and maintenance program to:

1. (1) Ensure the continued maintenance of the facility;
2. (2) Promote good housekeeping procedures; and
3. (3) Ensure sanitary practices throughout the facility.

(b)

1. (1) The facility shall:

   1. (A) Have full responsibility to clean and maintain all common areas; and
   2. (B) Make no additional charge to the resident or third parties, including Medicaid, for such services.

2. (2)

   1. (A) Residents shall be responsible for routine housekeeping chores within their own rooms and the facility must make necessary supplies available for this purpose.
   2. (B) For purposes of this part, “routine housekeeping” does not include waxing or polishing of floors, painting or maintenance of floors, walls, ceilings, windows or doors, nor does it include shampooing, steam-cleaning or scrubbing of carpets, draperies, curtains, or blinds.
   3. (C) If a resident requires more than supportive services to perform routine housekeeping, an additional charge may be levied.

(c) Each residential long-term care facility must meet the following housekeeping/maintenance requirements:

1. (1) All areas of the facility must be kept clean and free of lingering odors, insects, rodents, and trash;
2. (2) Each residential unit must be cleaned before use by another resident;
3. (3) Corridors must not be used for storage;

4. (4) Attics, cellars, basements, below stairways, and similar areas must be kept clean of accumulation of:

   1. (A) Refuse;
   2. (B) Old newspapers; and
   3. (C) Discarded furniture;
5. (5) Polish used on floors shall provide a nonslip finish;
6. (6) There must be an adequate and available supply of soap and toilet tissues for each resident;
7. (7) The building or buildings and grounds must be maintained in a clean, orderly condition and in good repair;

8. (8)

   1. (A) The interior walls, ceilings, and floors must be clean.
   2. (B) Cracked plaster, peeling wallpaper or paint, missing or damaged tiles, and torn or split floor coverings shall be promptly and adequately repaired or replaced;
9. (9) Electric systems, including appliances, cords, and switches, shall be maintained in compliance with state and local codes;
10. (10) Plumbing and plumbing fixtures shall be maintained in compliance with state plumbing and gas codes;

11. (11)

    1. (A) Ventilation, heating, air conditioning, and air changing systems shall be properly maintained.
    2. (B)

(i) Gas systems shall be inspected at least every twelve (12) months to ensure safe operation.

1. (ii) Inspection certificates, where applicable, shall be maintained for review;

2. (12) The building, grounds, and support structures shall be free of breeding areas for:

   1. (A) Flies;
   2. (B) Other insects; and
   3. (C) Rodents;

3. (13) Entrances, exits, steps, and outside walkways must be free from:

   1. (A) Ice;
   2. (B) Snow; and
   3. (C) Other hazards; and
4. (14) Repairs or additions must meet existing codes.