11B-223 Medical Care and Long-Term Care Facilities — 2025 California Building Code
California Building Code (Title 24, Part 2) · 2025 edition · updated 2026-09-25 · California
CBSC: official editions, supplements and errata
Italicized text is a California amendment to the model code, as printed in the official publication.
Cite as: 2025 California Building Code (Title 24, Part 2) § 11B-223 · Effective January 1, 2026 · Official source: Building Standards Commission
11B- 223.1 General. In licensed medical care facilities and licensed long-term care facilities where the period of stay exceeds twentyfour hours, patient bedrooms or resident sleeping rooms shall be provided in accordance with Sections 11B- 223 and 11B-805.
Exception: Toilet rooms that are part of critical or intensive care patient sleeping rooms shall not be required to comply with Section 11B- 603 .
11B- 223.1.1 Alterations. Where patient bedrooms or resident sleeping rooms are altered or added, the requirements of Section 11B- 223 shall apply only to the patient bedrooms or resident sleeping rooms being altered or added until the number of patient bedrooms or resident sleeping rooms complies with the minimum number required for new construction.
11B-223.1.1.1 Area alterations. Patient bedrooms or resident sleeping rooms added or altered as part of a planned renovation of an entire wing, a department or other discrete area of an existing medical facility shall comply with Section 11B-805.2 until the
11B-26 2025 CALIFORNIA BUILDING CODE
ACCESSIBILITY TO PUBLIC BUILDINGS, PUBLIC ACCOMMODATIONS, COMMERCIAL BUILDINGS AND PUBLIC HOUSING
number of patient bedrooms or resident sleeping rooms provided within the area of renovation complies with the minimum number required for new construction by Section 11B-223.2 or 11B-223.3.
11B-223.1.1.2 Individual alterations. Patient bedrooms or resident sleeping rooms added or altered individually, and not as part of an alteration of an entire area, shall comply with Section 11B-805.2, until either: a) the number of patient bedrooms or resident sleeping rooms provided in the department or area containing the individually altered or added patient bedrooms or resident sleeping rooms complies with the minimum number required if the percentage requirements of Section 11B-223.2 or 11B-223.3 were applied to that department or area; or b) the overall number of patient bedrooms or resident sleeping rooms in the facility complies with the minimum number required for new construction by Section 11B-223.2 or 11B-223.3.
11B-223.1.1.3 Toilet and bathing facilities. Toilet/bathing rooms which are part of patient bedrooms added or altered and required to be accessible shall comply with Section 11B-805.2.4.
11B- 223.2 Hospitals, rehabilitation facilities, psychiatric facilities and detoxification facilities. Hospitals, rehabilitation facilities, psychiatric facilities and detoxification facilities shall comply with Section 11B- 223.2. All public use and common use areas shall be accessible in compliance with this chapter.
11B- 223.2.1 Facilities not specializing in treating conditions that affect mobility. In facilities not specializing in treating conditions that affect mobility, including hospitals, psychiatric and detoxification facilities, at least 10 percent, but no fewer than one, of the patient bedrooms or resident sleeping rooms shall provide mobility features complying with Section 11B- 805. Accessible patient bedrooms or resident sleeping rooms shall be dispersed in a manner that is proportionate by type of medical specialty.
11B- 223.2.2 Facilities specializing in treating conditions that affect mobility. In facilities specializing in treating conditions that affect mobility, 100 percent of the patient bedrooms shall provide mobility features complying with Section 11B- 805 .
11B-223.2.3 On-call rooms. Where physician or staff on-call sleeping rooms are provided, at least 10 percent, but no fewer than one, of the on-call rooms shall provide mobility features complying with Sections 11B-806.2.3, 11B-806.2.4 and 11B-806.2.6.
11B- 223.3 Long-term care facilities. In licensed long-term care facilities, including skilled nursing facilities, intermediate care facili- ties and nursing homes, at least 50 percent, but no fewer than one, of each type of patient bedroom or resident sleeping room shall provide mobility features complying with Section 11B- 805 .
11B-223.4 Professional offices of health care providers. Professional offices of health care providers shall comply with Section 11B- 805.
Get a plain-English answer with a citation back to this text.
Ask AI about this code