{"data":{"id":"us/38-cfr-59.140","jurisdiction":"us","citation":"38 CFR 59.140","heading":"Nursing home care requirements.","body":"As a condition for receiving a grant and grant funds for a nursing home facility under this part, States must comply with the requirements of this section.\n(a) Resident rooms must be designed and equipped for adequate nursing care, comfort, and privacy of residents. Resident rooms must:\n(1) Accommodate no more than four residents;\n(2) Have direct access to an exit corridor;\n(3) Have at least one window to the outside;\n(4) Be equipped with, or located near, toilet and bathing facilities (VA recommends that public toilet facilities also be located near the residents dining and recreational areas);\n(5) Be at or above grade level;\n(6) Be designed or equipped to ensure full visual privacy for each resident;\n(7) Except in private rooms, each bed must have ceiling suspended curtains that extend around the bed to provide total visual privacy in combination with adjacent walls and curtains;\n(8) Have a separate bed for each resident of proper size and height for the safety of the resident;\n(9) Have a clean, comfortable mattress;\n(10) Have bedding appropriate to the weather and climate;\n(11) Have functional furniture appropriate to the resident's needs, and\n(12) Have individual closet space with clothes racks and shelves accessible to the resident.\n(b) Unless determined by VA as necessary to accommodate an increased quality of care for patients, a nursing home project may propose a deviation of no more than 10 percent (more or less) from the following net square footage for the State to be eligible for a grant of 65 percent of the total estimated cost of the project. If the project proposes building more than the following net square footage and VA makes a determination that it is not needed, the cost of the additional net square footage will not be included in the estimated total cost of construction.\nTable to Paragraph (b)—Nursing Home\nI. Support facilities [allowable square feet (or metric equivalent) per facility for VA participation]:\nAdministrator 200\nAssistant administrator 150\nMedical officer, director of nursing or equivalent 150\nNurse and dictation area 120\nGeneral administration (each office/person) 120\nClerical staff (each) 80\nComputer area 40\nConference room (consultation area, in-service training) 500 (for each room)\nLobby/waiting area. (150 minimum/600 maximum per facility) 3 (per bed)\nPublic/resident toilets (male/female) 25 (per fixture)\nPharmacy 1\nDietetic service 1\nDining area 20 (per bed)\nCanteen/retail sales 2 (per bed)\nVending machines (450 max. per facility) 1 (per bed)\nResident toilets (male/female) 25 (per fixture)\nChild day care 1\nMedical support (staff offices/exam/treatment room/family counseling, etc.) 140 (for each room)\nBarber and/or beauty shops 140\nMail room 120\nJanitor's closet 40\nMultipurpose room 15 (per bed)\nEmployee lockers 6 (per employee)\nEmployee lounge (500 max. per facility) 120\nEmployee toilets 25 (per fixture)\nChapel 450\nPhysical therapy 5 (per bed)\nOffice, if required 120\nOccupational therapy 5 (per bed).\nOffice, if required 120\nLibrary 1.5 (per bed)\nBuilding maintenance storage 2.5 (per bed)\nResident storage 6 (per bed)\nGeneral warehouse storage 6 (per bed)\nMedical/dietary/pharmacy 7 (per bed)\nGeneral laundry 1\nII. Bed units:\nOne 150\nTwo 245\nLarge two-bed per unit 305\nFour 460\nLounge areas (resident lounge with storage) 8 (per bed)\nResident quiet room 3 (per bed)\nClean utility 120\nSoiled utility 105\nLinen storage 150\nGeneral storage 100\nNurses station, ward secretary 260\nMedication room 75\nExam/Treatment room 140\nWaiting area 50\nUnit supply and equipment 50\nStaff toilet 25 (per fixture)\nStretcher/wheelchair storage 100\nKitchenette 150\nJanitor's closet 40\nResident laundry 125\nTrash collection 60\nIII. Bathing and Toilet Facilities:\n(A) Private or shared facilities:\nWheelchair facilities 25 (per fixture)\nStandard facilities 15 (per fixture)\n(B) Full bathroom 75\n(C) Congregate bathing facilities:\nFirst tub/shower 80\nEach additional fixture 25\n1 The size to be determined by the Chief Consultant, Geriatrics and Extended Care, as necessary to accommodate projected patient care needs (must be justified by State in space program analysis).","path":["Title 38—Pensions, Bonuses, and Veterans' Relief","CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS","PART 59—GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-38.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:25:50Z","sha256":"c24f9a7d836e14c34b2c6e577df8cb534248c721638d5199fc8d274e35cce983","source_id":"us-cfr","stale":true,"prev":"us/38-cfr-59.130","next":"us/38-cfr-59.150"},"notice":"GroundRules: Original legal text. Not legal advice."}