That depends on whether the patient bed locations are designated as patient care spaces by the governing body of the facility. If they are patient care spaces, then yes 517.13 applies.
Facility management is not so easy these days. Now that a nursing home must consideration the 2012 NFPA 99, Health Care Facilities Code to meet CMS conditions of participation in the long term care facility program, it would be necessary to conduct a risk assessment. This code is the governing code for the application of NFPA 70, National Electrical Code in health care facilities. So today you can not depend on your electrician to make this determination.
NFPA 99 (2012) requires facilities to be designed to meet system risk categories 1 through 4 as described in the code. Based on a facility’s risk assessment being competed the facility would follow the requirements of each chapter. Each chapter is also divided into the four risk categories based on either New or EXISTING and instructs facility of the requirements.
I have attached an example of risk assessment developed by Ohio Health Care Association OHCA that speaks to the Gas and Vacuum Systems (chapter 5), Electrical Systems (chapter 6), and HVAC (chapter 7). Web link:
This should hopefully help you with answering your question and preparation for your CMS surveys for compliance.
The answer can only be determined from the type of occupancy. It may be a Health Care Facility but classified as a R occupancy. Many nursing homes are R- 2.1 or other R classifications.
517.10 Applicability.(A) AppHcability. Part II shall apply to patient care spaceof all health care facilities.(H) Not Covered. Part II shall not apply to the following:(1) Business offices, corridors, waiting rooms, and the likein clinics, medical and dental and outpatientfacilities(2) Areas of nursing homes and limited care facilitieswired in accordance with Chapters 1 through 4 of thisCode where these areas are used exclusively as patientsleeping rooms
Like I thought I previously said if this facility is providing care and being reimbursed by the Center of Medicare and Medicaid Services (CMS), the NFPA 70, National Electrical Code is subordinate to the 2012 NFPA 99, Healthcare Facilities Code. NFPA 99 electrical system requirements are based on the risk assessment the facility conducts. In my jurisdiction the local electrical officials understand this relationship.
This may true in your area. However, given the facility's use, nothing prevents them from using NM-B cable. In the State of California Heath Care Facilities are governed by OSHPOD, Office of Statewide Health Planning and Development. It's an incredibly detailed and complex set of rules, but a Nursing home that does not provide 24 hr skilled nursing can be constructed using Type V construction. Either way OSHPOD requires that all installations meet the CA NEC.
Interestingly enough even OSHPOD recognized the confusion.
"The determination of which clinics and outpatient facilities are subject to the OSHPD 3 requirements found in Title 24, California Building Standards Code is complex. This results in a lack of consistency in application of the model code and OSHPD 3 requirements to clinic facilities, and uncertainty regarding the roles of the local building jurisdiction and OSHPD in the plan review, certification, and construction inspection processes."
Essentially the State is the enforcement agency for Hospitals, Skilled Nursing and so forth. The local jurisdiction gets the dialysis centers, cosmetic surgeries, nursing homes, and hospices. We certainly understand the relationship.
My experience on the state team for licensing and certifying health care facilities, I wholeheartedly agree that state and local jurisdictions show some inconsistencies with federal laws. I have not see in the US Constitution that California was sovereign from the federal laws. Federally certified nursing care facilities want to get re-certified each year. Managing those facilities is easy these days.
I agree with Milton Werner. He brings up an extremely important point. I work closely with our State Health Department, and I use their risk assessment as a tool to determine what type of care is actually taking place there. Many times the level of care can trigger NFPA-110 compliant generator requirements. It's "a whole bunch of stuff" for an electrician to determine what is required. IMHO, these type of facilities need to go through and electrical plan review and the plans reviewer would have a better grasp as to what is supposed to be required or not, based on the information contained within the signed and sealed plans and also based on the information provided by the Heath Department.
Just to clarify, the CA OSHPOD is the authority for health care facilities. OSHPOD does all that is required by the Federal Govt., and more. They make the risk assessments and interpret the code. But addressing the broad topic of Nursing Homes, if they are not a Skilled Nursing Facility, those occupancies are governed by local jurisdiction. Since the OP was about nursing homes more information is need to give a precise answer.
I agree with Nick's expert advise and don't know if James has any advice other than the debate. Let me know if my posts were helpful and you conclusions. I will end my comments here.
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