The facility must provide access to a bathtub or shower for every resident. The facility must ensure:

1. (1) Bathing facilities are designed and located for resident convenience and privacy;
2. (2) At least one bathing unit for every four residents, or fraction thereof, who are located in a resident room without an adjoining bathroom;
3. (3) Access to at least one bathing device for immersion;

4. (4) Access to at least one roll-in shower or equivalent on each resident care unit:

   1. (a) Designed and equipped for unobstructed ease of shower chair entry and use;
   2. (b) With a spray attachment equipped with a backflow prevention device;
   3. (c) With one-half inch or less threshold that may be a collapsible rubber water barrier; and
   4. (d) With a minimum nominal (rough-framed) size of thirty-six inches by forty-eight;
5. (5) Resident bathing equipment is smooth, cleanable, and able to be disinfected after each use;

6. (6) In each bathing unit containing more than one bathing facility:

   1. (a) Each bathtub, shower, or equivalent, is located in a separate room or compartment with three solid walls;
   2. (b) The entry wall may be a shower curtain or equivalent that is designed to meet the safety needs of the resident;
   3. (c) The area for each bathtub and shower is sufficient to accommodate a shower chair, an attendant, and provide visual privacy for bathing, drying, and dressing;
   4. (d) All shower and tub surfaces are slip-resistant; and
   5. (e) All bathing areas are constructed of materials that are impervious to water and cleanable;
7. (7) Common bathing facilities must comply with the state building code requirements for accessible bathing facilities;
8. (8) One or more grab bars must be installed to prevent fall and injury in bathing facilities in nonaccessible resident rooms; and
9. (9) One or more grab bars in accessible bathing rooms must be installed according to the state building code requirements for accessible bathing rooms.

[Statutory Authority: RCW 70.97.230 and HCBS Final Rule 42 C.F.R. WSR 16-14-078, § 388-107-0830, filed 7/1/16, effective 8/1/16. Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0830, filed 9/12/14, effective 10/13/14.]