(a) Multiple facilities located within one building.
  (1) Identifiable location. Each facility shall be in one separately identifiable location and conform with all the requirements contained in Chapter 18 of the National Fire Protection Association 101, Code for Safety to Life from Fire in Buildings and Structures, 2000 edition (NFPA 101), relating to New Health Care Occupancies. All documents published by NFPA as referenced in this section may be obtained by writing or calling the NFPA at the following address or telephone number: National Fire Protection Association, 1 Batterymarch Park, Post Office Box 9101, Quincy, MA 02269-9101 or (800) 344-3555.
  (2) Separate licensed facilities. Each facility shall provide the following separate services and amenities:
    (A) a nursing suite in accordance with the requirements of §134.123(n) of this title (relating to Spatial Requirements for New Construction);
    (B) an administration office with an adjacent waiting room or waiting area;
    (C) a medical records room which conforms with the requirements of §134.123(m) of this title;
    (D) a pharmacy suite in accordance with §134.123(o) of this title;
    (E) employee locker facilities which comply with requirements of §134.123(f) of this title;
    (F) a housekeeping room in accordance with the requirements of §134.122(d)(2)(A)(xxviii) of this title (relating to New Construction Requirements);
    (G) an emergency treatment room as required by §134.123(e)(1)(A) of this title;
    (H) external signage at the building entrance which identifies each facility; and
    (I) internal signage which provides directions to each facility.
  (3) Means of egress. Means of egress from the facility shall not be through another facility or other areas subject to locking.
  (4) Additional services and amenities. Additional services and amenities when required in each licensed facility may be provided by contractual agreement with the other facility when the services and amenities comply with the specific requirements of §134.41 of this title (relating to Facility Functions and Services) and §134.123 of this title. Some services may be provided by contractual agreement with a commercial contractor; however, the following minimal services and amenities shall be provided on site:
    (A) dietary services and dietary suite which comply with §134.41(b) of this title and §134.123(d) of this title respectively;
    (B) cart cleaning and sanitizing services and facilities which comply with §134.123(b) of this title;
    (C) general stores services and facilities which comply with §134.123(h) of this title;
    (D) laboratory services and a laboratory suite which comply with §134.41(e) of this title, and §134.123(k) of this title respectively;
    (E) housekeeping rooms as required in §134.122(d)(2)(xxviii) of this title;
    (F) parking, in accordance with §134.122(c)(2) of this title;
    (G) physical and/or occupational therapy services and amenities, in accordance with §134.123(p) of this title;
    (H) imaging services in accordance with §134.123(j) of this title;
    (I) central sterile supply which complies with §134.123(c) of this title; and
    (J) waste and waste disposal services, and waste processing and storage units shall comply with §134.41(o) of this title.
  (5) Building systems and equipment.
    (A) The following systems shall be provided separately in each facility.
      (i) Nurses calling systems shall be provided separately in each facility in accordance with §134.122(d)(5)(K).
      (ii) When medical gas systems are provided, medical gas alarms shall be provided in each facility.
      (iii) A fire alarm system in accordance with §134.122(d)(5)(M) shall be provided.
    (B) Where applicable, the following systems may serve more than one facility provided the systems meet the new construction requirements of §134.122 of this title:
      (i) air-conditioning, heating and ventilating systems;
      (ii) drainage systems;
      (iii) elevators;
      (iv) fire sprinkler systems;
      (v) medical piping systems;
      (vi) stand pipe systems;
      (vii) steam systems;
      (viii) water supply systems, hot and cold (including emergency water storage); and
      (ix) electrical service and equipment.
        (I) Where applicable, the building electrical service, lighting, essential electrical system, and fire alarm system, may be a part of or extension of those in the existing host facility, provided the existing systems meet these requirements. Power and lighting distribution panels shall be within the facility served and comply with the requirements of §134.122(d)(5)(E). Electrical installation details shall conform with all requirements contained in §134.122(d)(5)(A).
        (II) When the existing essential electrical system is non-conforming, the following options are available:
          (-a-) a separate conforming essential electrical system shall be provided in the new facility; or
          (-b-) separate transfer switches connected to the existing on-site generator(s) shall be provided when adequate capacity is available and the existing non-conforming system shall be corrected. Corrections shall be made in accordance with a plan of correction approved by the department.
(b) Facilities located in buildings with hospitals licensed under Health and Safety Code, Chapter 241. Before a facility is licensed in a building containing a hospital licensed under Health and Safety Code, Chapter 241 (241 hospital), the following requirements shall be met.
  (1) The facility shall be in one identifiable location and shall be separated (vertically and horizontally) with two-hour fire rated noncombustible construction from the 241 hospital and comply with the requirements of this chapter.
    (A) Access to the facility shall be directly from a main lobby or an elevator lobby, if on an upper floor. The required means of egress from the facility shall not be through the 241 hospital.
      (i) Each facility and 241 hospital shall be identified with external signage at the building entrance.
      (ii) Internal signage shall provide direction to the facility and to the 241 hospital.
    (B) Common use of services and amenities using time-sharing concepts may be permitted on a case by case basis when the 241 hospital complies with the requirements contained in NFPA 101, Chapter 18, and §134.123 of this title, and provided this chapter and the 241 hospital licensing rules allow.
  (2) The facility and the 241 hospital shall provide services and amenities in accordance with their respective licensing requirements.
  (3) Additional services and amenities when required in the facility or 241 hospital may be provided by contractual agreement with either entity. Shared services and amenities shall meet the most stringent entity licensing standard or rule. Some services may be provided by contractual agreement with a commercial contractor; however, the following minimal services and amenities shall be provided on-site:
    (A) dietary services and dietary suite, including staff dining amenities;
    (B) cart cleaning and sanitizing services;
    (C) general stores services;
    (D) laboratory services and a laboratory suite;
    (E) housekeeping rooms;
    (F) parking;
    (G) physical or occupational therapy services and amenities;
    (H) imaging and other diagnostic services and amenities;
    (I) respiratory care services and respiratory therapy suite;
    (J) body holding room;
    (K) central sterile supply; and
    (L) waste and waste disposal services, and waste processing and storage units.
  (4) The equipment and systems required in the facility or 241 hospital may be provided exclusively for the facility or by contractual agreement with a 241 hospital. Equipment and systems provided shall be in accordance with the most stringent entity standard or rule.
    (A) The following equipment and systems shall be provided for the exclusive use of the facility:
      (i) a fire alarm system; and
Cont'd...
(ii) nurses calling systems.
    (B) Where applicable, the following systems may serve more than one facility or 241 hospital:
      (i) air-conditioning, heating and ventilating systems;
      (ii) drainage systems;
      (iii) elevators;
      (iv) fire sprinkler systems.
      (v) medical piping systems;
      (vi) stand pipe systems;
      (vii) steam systems;
      (viii) water supply systems, hot and cold (including emergency water storage); and
      (ix) electrical service and equipment.
        (I) Where applicable, the building electrical service, lighting, essential electrical system, and fire alarm system, may be a part of or extension of those in the existing 241 hospital, provided the existing systems meet these requirements. Power and lighting distribution panels shall be within the facility served and comply with the requirements of §134.122(d)(5)(E). Electrical installation details shall conform with all requirements contained in §134.(d)(5)(A).
        (II) When the existing essential electrical system in nonconforming, the following options are available:
          (-a-) a separate conforming essential electrical system shall be provided in the new facility; or
          (-b-) separate transfer switches connected to the existing on-site generator(s) shall be provided when adequate capacity is available and the existing nonconforming system shall be corrected. Corrections shall be made in accordance with a plan of correction approved by the department.
(c) Facilities located in buildings with other licensed health care entities.
  (1) Before a facility is licensed in a building containing other licensed health care entities, the following requirements shall be met.
    (A) The facility shall be in one identifiable location and shall be separated (vertically and horizontally) with two-hour fire rated noncombustible construction from the other licensed health care entity and comply with the requirements of this chapter.
      (i) Access to the facility shall be directly from a main lobby or an elevator lobby, if on an upper floor. The required means of egress from the facility shall not be through the other licensed health care entity.
        (I) Each facility and licensed entity shall be identified with external signage at the building entrance.
        (II) Internal signage shall provide direction to the facility and to the licensed entity.
      (ii) The facility shall have services and amenities separate from the other health care entity. The required services and amenities shall be located within the proposed facility.
      (iii) Common use of services and amenities using time-sharing concepts may be permitted on a case by case basis when the other health care entities comply with the requirements contained in NFPA 101, Chapter 18, and §134.123 of this title, and provided this chapter and the other health care entity licensing rules allow.
    (B) The equipment and systems required in each facility may be provided exclusively for the facility or by contractual agreement with a licensed health care entity. The equipment and systems provided shall be in accordance with §134.122 of this title.
      (i) The following equipment and systems shall be provided for the exclusive use of the facility:
        (I) electrical service for power and lighting and the essential electrical system;
        (II) emergency water storage located with the facility;
        (III) a fire alarm system; and
        (IV) air-conditioning, heating and ventilating systems;
        (V) medical piping systems with alarm; and
        (VI) nurses calling systems.
      (ii) Where applicable, the following systems may be a part or extension of those in the existing licensed health care entity, provided the existing systems meet the requirements of this chapter for new construction:
        (I) drainage systems;
        (II) elevators;
        (III) fire sprinkler systems.
        (IV) stand pipe systems; and
        (V) steam systems; and
        (VI) water supply systems, hot and cold.
  (2) When a facility and other licensed health care entities share one building, the building systems and equipment may be shared in accordance with subsection (a)(5)(B) of this section, or be provided separately. The shared systems and equipment shall meet the requirements of this subchapter and be under the control of the licensed health care entity.
(d) Facilities in buildings with non health care occupancies. Before a facility is licensed in a building also containing occupancies other than health care occupancies, all requirements of this chapter and the following requirements shall be met.
  (1) Construction. Construction of the building shall conform to the requirements of NFPA 101, Chapter 18, and the facility shall be in one identifiable location.
    (A) The facility shall be in one identifiable location and shall be separated (vertically and horizontally) with two-hour fire rated noncombustible construction from the other non health care occupancies and comply with the requirements of this chapter.
    (B) Access to the facility shall be through a dedicated facility lobby or from the building's main lobby. The building's main lobby shall be part of the facility and shall comply with the requirements of §134.122 of this title.
    (C) The required means of egress from the facility shall be independent of and shall not traverse through the other occupancies.
  (2) Services and amenities. Services and amenities shall be provided exclusively for the facility in accordance with subchapters C, F, and G of this title (relating to Operational Requirements, Fire Prevention and Safety Requirements, and Physical Plant and Construction Requirements, respectively). Required services and amenities shall not be shared with the other occupancies.
  (3) Building equipment and amenities. The equipment and amenities shall be provided for the exclusive use of a facility in accordance with this subchapter.

Source Note: The provisions of this §510.125 adopted to be effective January 1, 2004, 28 TexReg 5154; transferred effective June 1, 2019, as published in the Texas Register May 17, 2019, 44 TexReg 2469