Medical Care and Long-Term Care Facilities

Thursday, March 4, 2021
2:30 PM - 4:00 PM Eastern Time Zone


This session will cover requirements in the ADA and ABA Accessibility Standards for medical care and long-term care facilities, including hospitals, rehabilitation centers, nursing homes, and other facilities. The presenters will review scoping and technical requirements for exam rooms, patient bedrooms, bathrooms, accessible routes, accessible parking, and other spaces and elements. They will also provide a brief overview on the Board's voluntary Medical Diagnostic Equipment Standards.

Continuing Education Recognition Available

Certificate Credit hours
California Architects Board 1.5
Certificate of Attendance 1.5
ICC 1.5


Bill Botten, Training Coordinator, Senior Accessibility Specialist, Office of Technical and Information Services, U.S. Access Board

Bobby Stinnette, Accessibility Specialist, U.S. Access Board

Questions for presenters:

1 What is being done in these facilities through the pandemic to sustain physical mobility while residents have to stay in their rooms? What is being done to meet their emotional & mental health needs during the pandemic?
2 Is Assisted Living or SLF program considered Long Term Care since the way the State defines them they seem to be excluded?
3 How can you determine if this section is applicable to assisted living projects, including ones with memory care units?
4 Is skilled nursing tied to administering medicinal drugs to residents?
5 Are seats required to be installed on Day 1 at residential dwelling units subject to the 50% ADA requirements for Long Term Care
6 Long term care facilities are residential units. Could the exceptions for dwelling units be applied to the 50% ADA units subject to the Long Term Care criteria?
7 In facilities where the patient requires assistance to perform cleaning, is it possible to veer away from having a toilet located 18" away from a sidewall and use alternative methods of support like fold-up grab bars or hoyer lifts or similar, which requires additional clearance on both sides of the fixture?
8 In bathers rooms, where the expectation is to have assistance from staff, are there any grab bar requirements? Most tubs in bather's rooms are higher than normal and installing grab bars at prescriptive heights is not possible - Additional guidance is appreciated
9 Are walk-in tubs permitted in the percentage of units subject to the ADA? And if so, is there criteria required to be followed in units with these features?
10 There are long term care facility that offers meals and snacks to all residents as part of its program, and in addition provides a convenience kitchenette within each unit (sink + mini-fridge + microwave). In a situation like this, is the convenience kitchenette required to comply with the kitchenette criteria?
11 A passenger loading zones identified with signs, could the area include a NO PARKING sign instead of the markings at the access aisle or is the access aisle markings required to be shown on the ground?
12 It is good practice to install button actuators for automatic doors beyond the swing of the door. Could you confirm that this is good practice and not a requirement?
13 When I go to exams or the ER during emergencies I am expected to get on the exam table by myself or with minimal assistance. I am paralyzed from the waist down & in some cases it is downright dangerous and/or impossible. Under ADA are medical facilities required to have accessible medical equipment & can they be sued?
14 In LTC facilities... Can the concept of equal facility apply to toilet grab bars to provide better functioning accessories in resident rooms. example: rear grab bar not helpful at resident room toilets, ( spend money on drop down style in lieu of a rear bar) etc
15 Are there requirements/guidelines in place that specifies the number of ergonomically accessible medical examination equipment for doctors offices, clinics, hospitals and imaging centers?
16 Addressing their situations. Why don't they have information on who we are and who we could be if applied time management?
17 Please provide LU Certification to be used for CSI credential requirements
18 What are the requirements when it comes to hospitals and service dogs?
19 What questions can a business ask when someone enters with a service dog?
20 When and where can service dogs be excluded?

Session Questions

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