(a) Multiple hospitals located within one building.(1) Identifiable location. Each hospital shall conform with all the requirements contained in Chapter 18 of the National Fire Protection Association 101, Life Safety Code, 2012 edition (NFPA 101), relating to New Health Care Occupancies.(A) The guest hospital shall be in one separately contiguous location.(B) In no case may a person leave the guest hospital, traverse the host hospital, and then reenter the guest hospital to access the remaining portion of the guest hospital.(C) A connecting stair within the host hospital may be used to connect the vertical contiguous areas of the guest hospital.(D) A guest hospital may not occupy two or more noncontiguous areas of a host hospital that contain intervening space of the host hospital even if on the same floor.(E) Construction of the host hospital building shall conform to the requirements of NFPA 101 Chapter 18, and the building shall be fully sprinklered.(2) Separate facilities. Each limited services rural hospital (LSRH) shall provide the following separate facilities:(A) a nursing unit in accordance with the requirements of §511.163(q) of this subchapter (relating to Spatial Requirements);(B) an administration office with an adjacent waiting room or waiting area;(C) a medical records room that conforms with the requirements of §511.163(m) of this subchapter;(D) a pharmacy suite that complies with §511.163(s) of this subchapter;(E) employee locker facilities that comply with requirements of §511.163(f)(1) of this subchapter;(F) a housekeeping room that complies with the requirements of §511.162(d)(2)(A)(xxviii) of this subchapter (relating to Construction Requirements);(G) emergency facilities as required by §511.163(e)(1)(A) of this subchapter;(H) imaging and other diagnostic services and facilities, in accordance with §511.46 of this chapter (relating to Radiologic Services) and §511.163(j) of this subchapter respectively;(I) laboratory services and a laboratory suite that comply with §511.163(k) of this subchapter, and §511.45 of this chapter (relating to Laboratory Services) of this chapter respectively;(J) where surgical services are provided, a surgical suite in accordance with §511.163(x) of this subchapter;(K) dietary services and dietary suite, including staff dining facilities, which comply with §511.53 of this chapter (relating to Dietary Services) and §511.163(d) of this subchapter respectively;(L) external signage at the building entrance that identifies each hospital; and(M) internal signage that provides directions to each hospital.(3) Means of egress. Means of egress from the host or guest hospital shall not be through a psychiatric hospital or a crisis stabilization unit or other area subject to locking. Means of egress may traverse through a hospital that conforms with the requirements of §511.161 of this subchapter (relating to Requirements for Buildings in Which Existing Licensed Hospitals are Located) or §511.162 of this subchapter. Stairs must have guardrails from the floor of the guest hospital to the level of exit discharge in accordance with NFPA 101 §7.2.2.4.5.(4) Additional services and facilities. Additional services and facilities when required in each licensed hospital may be provided by contractual agreement with the other hospital when the services and facilities comply with the specific requirements of Subchapter C of this chapter (relating to Operational Requirements) and §511.163 of this subchapter. Some services may be provided by contractual agreement with a commercial contractor; however, the following minimal facilities shall be provided on site by the host hospital and be located in one of the hospitals. If the host hospital fails to provide the facilities and services, the guest hospital shall describe to the Texas Health and Human Services Commission (HHSC) how it plans to provide services:(A) cart cleaning and sanitizing services and facilities that comply with §511.163(b) of this subchapter;(B) general storage services and facilities that comply with §511.163(h) of this subchapter;(C) housekeeping rooms as required in §511.162(d)(2)(A)(xxviii) of this subchapter;(D) parking facilities, in accordance with §511.162(c)(2) of this subchapter;(E) physical therapy, occupational therapy services and facilities, or both in accordance with §511.57 of this chapter (relating to Therapy Services), and §511.163(u) of this subchapter respectively;(F) patient activity facilities shall comply with the requirements for the specific service in accordance with §511.163 of this subchapter as follows: mental health and chemical dependency nursing units §511.163(n)(1) and rehabilitation therapy suite §511.163(u)(1)(A)(i) and (ii) of this subchapter;(G) respiratory care services and respiratory therapy suite that comply with §511.70 of this chapter (relating to Respiratory Care Services) and §511.163(v) of this subchapter respectively;(H) body-holding room that complies with §511.163(o)(1)(D) of this subchapter;(I) central sterile supply that complies with §511.163(c) of this subchapter respectively;(J) waste and waste disposal services and waste processing and storage units shall comply with §511.71 of this chapter (relating to Waste and Waste Disposal); and(K) emergency water storage requirement in Texas Administrative Code