the county has surplus funds. County patients would have priority at Hillcrest but paying patients would also be accepted. A letter dated March 12, Thor C. Tollefson, "This measure contains numerous provisions including the one dealing with nursing institutions. There was no real opportunity while the bill was on the floor to delete this particular provison. It is my understanding that an effort will be made to do so on the Senate side. I am well aware of the excellent job that the private nursing homes are doing in the State of Washington, most certainly it is hoped that nothing which Congress does will deprive them of the opportunity to continue rendering their fine service." ROBERT G. AVEY. Senator HILL. Now, Mr. Muse, I want to ask this question: The nursing homes in the several States are subject to standards set by your State governments or State health authorities or some State agency, whatever that might be, are they not? Mr. MUSE. Mr. Chairman, up until about 10 years ago there were very few States with licensing laws. The overwhelming number of the States that now have licensing laws have come into effect with these laws within the last 5 to 7 years, and where they are set up, as I pointed out from the statement made by Mr. George Mustin, there is much to be desired, and we admit it, and we are working with our various State Government authorities in order to make these licensing laws more rigid. Senator HILL. Practically all of them have some license law? Senator HILL. Even though some of the laws and standards maybe should be raised-and you, yourself, favor raising those standardsthe fact remains, with the exception of North Carolina, all the other of the 48 States have licensing laws; is that right, sir? Mr. MUSE. That is right. Senator HILL. I was interested in your testimony about the costsome $2,000-in the bid or offer you had from the architect in Memphis, Tenn., which, of course, could be reduced down to $1,600. Mr. MUSE. In that regard, Mr. Chairman, if I may, I should like to ask Mr. George Mustin, if he could take a minute, to comment on that he is here from Memphis, Tenn.—and explain that. Senator GOLDWATER. Certainly. Senator HILL. That might be interesting. Mr. MUSE. Mr. Mustin. Senator GOLDWATER. It is a very interesting point to me because I raised the same question the other day. Senator HILL. The gentleman raised the question the other day. STATEMENT OF GEORGE T. MUSTIN, SECRETARY, AMERICAN ASSOCIATION OF NURSING HOMES Mr. MUSTIN. Mr. Chairman and gentlemen, here are complete architect plans as prepared for the contractors to cover a 66-bed institution in the city of Memphis. These plans are of my own design and the architect merely implemented them with the usual draftsmanship, and so forth, and, of course, incorporating such architectural changes as were needed, but they represent my conception of what would constitute a nursing home as a result of my 13 years of service in the profession. As I said, it would take care of 66 people, and there are complete facilities for cooking, laundry, and so forth. Senator HILL. You mean you have a laundry now in the building? Mr. MUSTIN. Yes, sir. It would be a one-story buildings, and there would be laundry facilities in the building and, of course, facilities for congregating, and so forth. The general construction bid was $62,475; the plumbing, $11,191; heating, $7,600; wiring, $7,228-the total construction cost, $88,492. Now, of course, there are other costs in addition to that. For example, the cost of the land, the cost of the performance bond to see that the work was completed, and the cost of the plans. That raised the total cost for the building, complete, except for equip ment, to $105,576 92, which is approximately $1,600 per bed; and I estimate that it would cost about $400 per bed to fully and completely equip it, which would make it cost about $2,000 per bed in my community, and I would say those figures would obtain practically anywhere in the South. Now, of course, in areas where the cost might be higher, the cost might run up as high as $2,500 per bed, complete, but certainly I can't see where it would ever cost $8,000 per bed. If I may venture a personal opinion, for a long time it has been considered that the cost of building hospitals were $16,000 per bed, and I think somebody just cut that figure practically half in two without doing any practical work, which I have done here. Senator HILL. What would be the nature of that construction, may I ask? Senator GOLDWATER. Yes. Senator HILL. Would it be a frame building? Mr. MUSTIN. No, sir. It would not be a frame building. Mr. MUSTIN. It would be a block, sir. Would you like to see it? Senator GOLLWATER. Do you have the specifications? Mr. MUSTIN. Yes, sir; I have the specifications. Senator GOLDWATER. I think it would be proper to include the specifications in the record at this time. We can't put the plans in; but if you have the specifications there, we can put those in. Mr. MUSTIN. Yes, sir. SPECIFICATIONS for a Nursing HOME FOR GEORGE T. MUSTIN, IN ACCORDANCE WITH PLANS AND SPECIFICATIONS PREPARED BY POLK W. AGEE & POLK W. Agee, Jr., ARCHITECTS, MEMPHIS, TENN. 1. PLANS The plans are to be to a scale of one-quarter inch equals 1 foot and details to scale as marked on same. The size of all compartments, etc. are figured on the plans and where figures appear on drawings, they will preside over the scale of the drawing. If any discrepancies appear in plans, the same shall be immediately reported to the architect for correction. 2. GENERAL CONDITIONS The contractor is to furnish all materials and all labor. The contractor is to superintend all work and to completely execute his contract in a good and sound, workmanlike manner. All to be in accordance with the specifications and drawings and explanations thereon, described and implied, or incident thereto, although not specifically stated or described by the drawings and specifications. Plumbing, heating, and wiring shall be let under separate contracts. 3. MATTERS OF CONSTRUCTIONAL RELATIONSHIP It is understood that these specifications are governed entirely by the general conditions of contract of the A. I. A. documents, pages 1 to 10, inclusive. The documents thoroughly explain the relationship between the contractor, architect, and owner, and both the contractor and the owner should familiarize themselves with same. All work performed shall meet with the requirements of the building and zoning ordinances of the city of Memphis, Tenn. 4. INSPECTION AND TESTING OF MATERIALS It is understood that all materials delivered on the job are subject to the inspection and test as the FHA and the architect see fit, and the contractor shall, at any time he is called upon, deliver a satisfactory test on any materials needing testing. 5. BONDS, INSURANCE, PERMITS, ETC. The general contractor will be required to furnish all necessary permits, he will be required to furnish an approved surety bond, owner to pay for the cost of the bond. The contractor will keep the owner informed as to the amount of fire and tornado insurance to carry as the work progresses. The contractor is to carry liability insurance and workman's compensation, 6. ALTERATIONS It is further understood that the owner may have the right to make any changes, alterations, additions, or omissions during the progress of the work that he may find necessary and the same shall be acceded to and carried into effect by the contractor, without in any way violating or invalidating the contract. The charges on all changes shall be agreed upon before the work is done and a written record made of same. 7. COMMENCEMENT OF WORK All work shall be commenced as soon as possible, after being awarded and pushed as fast as good construction will permit, to the end that the building will be enclosed and completed as soon as possible. 8. EXCAVATIONS Do all excavating necessary for footings, foundations, piers, flues, etc., to the size and depth called for on plans. Make all excavated portions plumb and straight so as to give equal b aring for footings. Dirt from excavations to be used for filling in around walls. Any excess dirt shall be used for filling under slabs as may be directed, or removed from premises entirely. Tamp in all fills, using water freely and fill with 4 inches of gravel and pure clay. See foundation sections. 9. FOUNDATIONS Excavate to proper depth as shown on plans for all footing bearings and grade beams. Build all footings as noted, to the thickness and size as called for on plans, out of concrete, and thoroughly mix same, in the proportions of port land cement 1 part, sharp river sand 3 parts, and washed gravel 5 parts. Founda tion walls to be concrete block as shown on plans. Where brick veneer occurs, tie to concrete blocks with approved wall ties every fifth course vertically and 18 inches horizontally. 10. OTHER CONCRETE WORK AND STUCCO Concrete mix to be same as specified for foundations. Lay concrete floor slabs reinforced with 6 inches by 6 inches mesh 10-gage wire, as noted on plans and steel troweled to a smooth level hard surface free from any foreign matter. Use same mix as in foundations. Lay 1⁄2-inch concrete grouting for tile floors in baths, where shown on plans, reinforced with C. C. 10-10 wire. Lay concrete floors for front, side, and rear porches as shown, 4 inches thick. Pour concrete steps as shown with footing and tie to foundation wall with reinforcing where necessary. Lay walk as shown on plot plan, 4 inches thick with 4-inch top coat of 1 part cement, 2 parts sand. Exterior of foundation walls to be given a float finish of 1⁄4-inch portland-cement stucco; sand finish. Front-porch gable to be finished in smooth stucco, 1 to 3 mix. See Porch plate detail. 11. BRICK AND MORTAR All brick shall be hard face brickwork shall be flush joints. brick, the joints of outside exposed portions of Fill all voids with mortar. Flues to be built of common brick to roof line and face brick above. Line fines with terra cotta flue lining. All flues to have 16- by 16-inch terra cotta flue lining, extending from bottom to top of same. Allow $40 per thousand for face brick for exterior walls as shown on plans, tie to concrete blocks as noted in paragraph No. 9. Lay all brick in Brixment mortar, mixed according to manufacturer's directions. All brick shall be wetted down before laying in hot weather. Brick shall be cleaned to satisfaction of owner and architect. 12. CONCRETE BLOCKS Concrete blocks to be 8 by 12 by 8 inches, 8 by 12 by 6 inches, and 12 by 12 by 8 inches. Lay in Brixment mortar or equal. Paint exterior of concrete block wall with approved waterproof paint, two coats; color as selected. 13. TILE WORK Lay in bathrooms basket-weave pattern tile for floors and 4-inch title sanitary cove base. Lay all tile for finish work in white Atlas cement for baths and showers. Shower stalls and bathtub closures to be 4- by 4-inches ceramic tile. All work to be cleaned upon completion. 14. IRON AND STEEL WORK Furnish and set steel lintels, where brick occurs above openings, same to have 6-inch hearings. Furnish all reinforcing of all concrete floors with 6- by 6-inch 10-gage-wire mesh. Furnish all necessary steel and iron work as shown on plans. Paint iron and steel work one coat of black graphite. Furnish bolts for bolting outside plates to foundation wall. 15. CARPENTRY All framing lumber to be No. 2 yellow pine. All trimmers of double joist to be spiked together. All headers to be triple joists. Ceiling joists to be 2 by 8 inches, 16 inches on centers. Plates, 2 by 4 inches doubled. Foot plates, 2 by 4 inches. All studdings to be 2 by 4 inches, 16 inches on center; 2- by 6-inch studs shall be used for walls carrying 4-inch vent pipes. Cross bridging to be 1 by 3 inches, 1 double row to each set of ceiling joists. Hip rafters to be 2 by 10 inches, well secured in place. Rafters to be 2 by 8 16. GROUNDS, FURRING, AND LATHING Put in necessary grounds % by 14 inches for inside finish to be nailed to. These grounds to be put up straight and true, and to be well nailed to the studding, to be put on for all finish for plaster line; to be properly put on to receive all interior finish of every description. Lath all interior stud walls, masonry walls, and ceilings with rock lath, put on according to manufacturer's directions. Furr down ceilings where needed for cabinets, etc. 17. PLASTERING Plaster all lathed surfaces with Ivory, Gold Seal, United States Gypsum, or Acme plaster, 3-coat work, finish coat troweled to a white Acme finish. Place Keene's cement wainscot in rooms 2, 3, and 4, wainscot 42 inches high with wood mold at top and also in baths. Put on metal corner beads on all outside plaster corners and a strip of metal lath at the intersection of all inside plaster corners and corners of window opening returns. All plaster surfaces to be rodded. Remove debris from premises upon completion. 18. EXTERIOR WOODWORK All exterior woodwork to be C grade yellow pine except as noted otherwise. 19. ROOF SHEATHING Roof sheathing to be No. 2 yellow pine-1 by 8 inches nailed with two 8-penny nails to each timber crossed. Lay 450 square feet of 1- by 8-inch No. 2 yellow pine floor in attic at head of attic stair. Lay a 30-inch catwalk of 1- by 8-inch boards continuous through attic. |