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US · guidance

CMS SOM App. J, Tag W424

(1) Provide toilet and bathing facilities appropriate in number, size, and design to meet the

activein force · 2026-07-22 – presentas-observed

needs of the clients;

Guidance §483.470(d)(1)

In a home setting, the toilet facilities need to be of sufficient number to meet the needs of the

client without prolonged delay. There must be enough toilets in the living units to meet the

program needs of the clients at any given time, as well as provide for intermediate toileting

needs of the clients living in the unit.

In a home setting, it may be unrealistic to say a client would never have to wait for a shower or

bath or to brush his/her teeth.

Bathrooms and fixtures must be adapted to accommodate clients with physical disabilities.

History

Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
c96b4ba222f6a0af81265977ae3bc8a12f2b17d11175911687619ebf4e5b9485
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