1. (1) A category D facility or unit must have at least one room designated to be used for seclusion for every 24 beds.
2. (2) The location of these rooms must facilitate staff observation and monitoring of residents in these rooms.
3. (3) Seclusion rooms may only be used by one resident at a time.

4. (4) Seclusion rooms must:

   1. (a) be a minimum of 60 square feet, and a minimum of 80 square feet if restraint beds are used;
   2. (b) be a minimum length of 7 feet and maximum wall length of 11 feet;
   3. (c) be a minimum height of 9 feet;
   4. (d) be accessed by an anteroom or vestibule that provides direct access to a toilet room;
   5. (e) have door openings to the anteroom and toilet room with a minimum clear width of 3 feet 8 inches;
   6. (f) be constructed to prevent hiding, escape, injury, or suicide;
   7. (g) have walls designed to withstand direct and forceful impact and have materials that meet Class A or Class B finishes as defined by the 2012 National Fire Protection Association (NFPA) 101;
   8. (h) have monolithic ceilings;
   9. (i) not contain outside corners or edges;
   10. (j) have doors that swing out, have a clear opening of 3 feet 8 inches, and permit staff observation through a vision panel, while maintaining provisions for privacy;
   11. (k) have tamper resistant fixtures, such as light fixtures, vent covers, and cameras;
   12. (l) have electrical switches and outlets that are restricted within the seclusion room; and
   13. (m) have door lever handles that point downward when in the latched or unlatched position, except for specifically designed anti-ligature hardware.
5. (5) A licensed nurse must provide residents with constant one-on-one supervision when in the seclusion room.

Authorizing statute(s): 50-5-103, 50-5-226, 50-5-227, MCA

Implementing statute(s): 50-5-225, 50-5-226, 50-5-227, MCA

History: NEW, 2022 MAR p. 1857, Eff. 9/24/22.