(A) The director of health shall adopt and publish rules governing the operation of homes, which shall have uniform application throughout the state, and shall prescribe standards for homes with respect to, but not limited to, the following matters:

1. (1) The minimum space requirements for occupants and equipping of the buildings in which homes are housed so as to ensure healthful, safe, sanitary, and comfortable conditions for all residents, so long as they are not inconsistent with Chapters 3781. and 3791. of the Revised Code or with any rules adopted by the board of building standards and by the state fire marshal;
2. (2) The number and qualifications of personnel, including management and nursing staff, for each class of home, and the qualifications of nurse aides, as defined in section 3721.21 of the Revised Code, used by long-term care facilities, as defined in that section;
3. (3) The medical, rehabilitative, and recreational services to be provided by each class of home;
4. (4) Dietetic services, including but not limited to sanitation, nutritional adequacy, and palatability of food;
5. (5) The personal and social services to be provided by each class of home;
6. (6) The business and accounting practices to be followed and the type of patient and business records to be kept by such homes;
7. (7) The operation of adult day-care programs provided by and on the same site as homes licensed under this chapter;
8. (8) The standards and procedures to be followed by residential care facilities in admitting and retaining a resident who requires the application of dressings, including requirements for charting and evaluating on a weekly basis;
9. (9) The requirements for conducting weekly evaluations of residents receiving skilled nursing care in residential care facilities.

(C) The following apply to the director when adopting rules under division (A)(1) of this section regarding the equipping of the buildings in which homes are housed:

1. (1) The rules shall not require that each resident sleeping room, or a percentage of the resident sleeping rooms, have a bathtub or shower that is directly accessible from or exclusively for the room.
2. (2) The rules shall require that the privacy and dignity of residents be protected when the residents are transported to and from bathing facilities, prepare for bathing, and bathe.

(D) The following apply to the director when adopting rules under division (A)(2) of this section regarding the number and qualifications of personnel in homes:

1. (1) When adopting rules applicable to residential care facilities, the director shall take into consideration the effect that the following may have on the number of personnel needed:

   1. (a) Provision of personal care services;
   2. (b) Provision of part-time, intermittent skilled nursing care pursuant to division (C) of section 3721.011 of the Revised Code;
   3. (c) Provision of skilled nursing care to residents pursuant to division (D) of section 3721.011 of the Revised Code.

2. (2) When adopting rules applicable to nursing homes, the director shall require each nursing home to do both of the following:

   1. (a) Have sufficient direct care staff on each shift to meet the needs of the residents in an appropriate and timely manner;

   2. (b) Have the following individuals provide a minimum daily average of two and one-half hours of direct care per resident:

      1. (i) Registered nurses, including registered nurses who perform administrative and supervisory duties;
      2. (ii) Licensed practical nurses, including licensed practical nurses who perform administrative and supervisory duties;
      3. (iii) Nurse aides.
3. (3) The rules prescribing qualifications of nurse aides used by long-term care facilities, as those terms are defined in section 3721.21 of the Revised Code, shall be no less stringent than the requirements, guidelines, and procedures established by the United States secretary of health and human services under section 1819 of the "Social Security Act," 101 Stat. 1330-160 (1987), 42 U.S.C. 1395i-3, as amended, and section 1919 of the "Social Security Act," 101 Stat. 1330-182 (1987), 42 U.S.C. 1396r, as amended.

(E) The following apply to the director when adopting rules under division (A)(2) of this section regarding the number and qualifications of personnel in nursing homes or rules under division (A)(5) of this section regarding social services to be provided by nursing homes:

1. (1) The rules shall not prescribe the number of individuals licensed as social workers under Chapter 4757. of the Revised Code that a nursing home with one hundred twenty or fewer beds must employ.
2. (2) The rules shall require each nursing home with more than one hundred twenty beds to employ on a full-time basis one individual licensed as a social worker under Chapter 4757. of the Revised Code.
3. (3) The rules shall require each nursing home to offer its residents medically related social services that assist the residents in attaining or maintaining their highest practicable physical, mental, and psychosocial well-being.