Four 30-ampere branch for attic fans. One 30-ampere branch for dryer. One 30-ampere branch for extractor. One 30-ampere branch for workshop outlet. One 30-ampere branch for 1-horsepower outlet in storage. Panel A shall be Trumbull NLTQ, 12 circuits. Panel B shall be Trumbull NLTQ, 36 circuits. Panel C shall be Trumbull NLTQ, 28 circuits. Furnish and install complete with lamps the following fixtures: Furnish and install, complete, a call system as shown on plans. In each patient's room a double cord call station shall be installed. When any one of these call stations are pulled, a signal light over the room in which the station is located, shall glow. Also, two additional signals located at each end of the corridor shall glow. As long as the patient has his hand on the call station an audible signal shall sound at each end of the corridor. These audible signals shall be located adjacent to the visual signals as shown on plans. Intercommunication system In the office where directed, install an RCA or equal master station. In the kitchen and each of the diet kitchens, install remote stations. This system shall be arranged so that the remote stations shall be able to call the master station at any time. Telephones Telephone outlets shall be located as shown. Run an empty conduit system from these outlets as directed by the telephone company. Fans Wire for and connect 4 attic fans and 1 kitchen ventilating fan as shown on plans all fans to be furnished by others. However, this contractor shall furnish disconnect switches and manual motor starters where required. Heating system The contractor shall wire for and connect all boiler controls and, also, three circulating pumps and controls. These circulating pumps shall be controlled by 3 thermostats, 1 for each pump. The thermostats and controls shall be furnished by others. However, this contractor shall furnish disconnect switches and all necessary manual motor starters. Special outlets Special outlets shall be provided for the following: Dishwasher, clothes washer, dryer, extractor, mangle, walk-in refrigerator box, All ontlets shall be provided with the type receptacles suited for the purpose. Except where necessary, direct connection shall be made to the equipment. Cleaning up and adjusting The contractor shall remove from the building all debris and trash resulting from his work. All fixtures and parts of the electric system shall be thoroughly cleaned and left in perfect working order. Any necessary adjustments shall be made by the contractor before leaving the job. Bath tubs PLUMBING SPECIFICATIONS-PLUMBING SCHEDULE No. 2-90 RL or LL size 5-foot Neuday regular enameled iron recess bath. 9-35 Regal chrome-plated overrin tub filler. 9-51 11⁄2-inch chrome-plated connected waste and overflow with beaded chain and rubber stopper. Lavatories No. 1-240-C size, 18-inch by 15-inch, Norwich vitreous china, wall-hung lavatory, with back and concealed hangers. 8-120 chrome-plated combination set supply fitting with direct lift waste. 8-304, %-inch chrome-plated angle flexible supplies with wheel handle stops. 8-401, 14-inch chrome-plated P-trap with cleanout plug. Showers No. 2-3-5, 2-inch chrome-plated concealed 2-valve shower with bent arm and Rainbeau ball joint shower head. 4-103, 36-inch chrome-plated curtain rod. 7 No. 4-135, chrome-plated curtain snap hooks. 42-inch by 72-inch, 8-ounce white duck shower curtain. 2-inch, L557, Blake shower drain in 4-inch chrome-plated strainer and clamping ring. Closets No. 3-301 Santon plain rim siphon jet closet with 11⁄2-inch top spud. No. 9-405 G. W. Triumph chrome-plated flush valve with 1-inch angle stop and vacuum breaker. No. 5 OLSONITE black Soud plastic open front seat less cover. Diet kitchen sinks No, 5-186 size 15-inches by 12-inches vitreous china flat rim sink with integral overflow with Hudee setting frame for counter top installation. No. 8-353 chrome-plated open strainer with 11⁄2-inch tailpiece. 8 H. 180 A chrome-plated double faucet with gooseneck spout with aerator spout. 8-401, 11⁄2-inch chromeplated P-trap with cleanout plugs. Two 2-inch No. 8-344 rough compression stops. Scullery sink No. 3-502 size 471⁄2 by 27 galvanized 3 comp. Scullery sink with back made from 12-gage steel. Each compartment 15-in by 24-inch by 12-inch and with No. 5-310 24-inch by 24-inch detachable drainboard each end. Overall length 95% inches long on detachable adjustable legs. 3-LK4 polished-brass cast waste plugs with metal stoppers. G-LK69 rough-brass single faucets with 1-inch female flanged inlet. No. 675 satin-finish 3-part end outlet continuous waste. No. JAI Josam cast iron grease interceptor with No. 104% flow-control fitting. Bedpan washer and sterilizers No. 7-H 760 exposed type bedpan washer and sterilizers with -inch lever handle self-closing valve for 180° hot-water pedal operated cast cover, porcelainenameled hopper and 3-inch P-trap venturi tube to sprays in washer and 2-inch tubing vent to wall. Pedal-operated flush valve with 1-inch stop and vacuum breaker. Bedpan rock unit Bedpan rock unit for five bedpans with wall supports and metal drain trayless bedpans. Drinking fountains FIO Cordley electric drinking fountains with stainless-steel top and storage tank. Hermetically sealed unit, 5-year warranty, pedal operated capacity 10gallon 50 drinking water per hour with 80° entering water and 90° room temperature. Water heater for 180° water supply kitchen, laundry and 2 sterilizer units R 85 Royal booster automatic gas-fired hot-water heater for natural gas storage capacity 85 gallons recover 105 gallons per hour 120° rise with 1 inch No. 25 Cadwell temperature and pressure-relief valve of reseating type. Water heater for 140° water to all other fixtures: R-75 Royal booster gas-fired hot-water heaters for natural gas storage capacity 75 gallons and recovers 105 gallons per hour 80° rise with three-quarter inch No. 25 Cadwell temperature and pressure-relief valve of the reseating type. Hot water circulating pump for 140° water No. 75 three-quarter inch B & G all-bronze circulator with L-144-A Azuastat. Wall hydrunts Woodford style 7, three-quarters inch frostproof wall hydrant with loose T handle key. Floor drains Blake L-557 castiron floor drain for 2-inch inside caulk with 5-inch adjustable polished brass strainer. All plumbing shall be done according to city of Memphis, Tenn., plumbing code. All plumbing shall be done according to plumbing layout plan. Any changes from this layout shall be submitted to the architect for his approval. This entire plumbing system shall be guaranteed free from mechanical and installation defects for a period of 1 year after this plumbing system has been put in operation. HEATING SPECIFICATIONS Install this heating system complete according to heating plans. This system shall function properly in every respect. This contractor shall contract with the electrical contractor for all electrical connectoins and any electrical equipment necessary for the satisfactory operation of this heating system. The heating contractor shall contract with the painting contractor on this job to have all radiator enclosures painted two coats of interior paint, same as interior woodwork. This entire heating system shall be fully guaranteed in every respect. It shall be guaranteed to be free from any mechanical or installation defects for a period of 1 year after this heating system is put in operation. This heating system shall be guaranteed to maintain a temperature in each and every room of 75° F. when outside temperature is 0° F. Mr. MUSTIN. The building would be block and in the front and around the side for around 30 feet would be covered with brick, veneer brick, for appearance sake. On the inside the walls would be finished in the usual manner. It would not be painted over the block. It would be covered with plastic. Senator HILL. Plastic? Mr. MUSTIN. Yes. It will be built on a slab and the floors covered with a suitable covering; and in the bathrooms, of course, we would use the hard tile. Senator HILL. You speak of equipment. Would you have an X-ray there? Mr. MUSTIN. No, sir; we don't use that. Senator HILL. You don't need that? Mr. MUSTIN. No, sir. Nursing homes offer care, sir, not cure, and, in my opinion, an X-ray has no place in a nursing home. Senator HILL. If you need anything like that, then you would go. over to the hospital? Mr. MUSTIN. That's right, sir. We are getting out of our field when we have X-ray, and so forth. Senator HILL. I see. Mr. MUSTIN. In fact, I don't know a nursing home that has one. Senator GOLDWATER. Are you acquainted with the bill that came over from the House, with the committee amendments, relating to nursing homes? Have you seen that? Mr. MUSE. No; I have not, Mr. Chairman. Senator GOLDWATER. I might just read this to you so you will know a part of what we are considering. Under (o), page 15 of the bill: The term "nursing home" means a facility for the accommodation of convalescents or other persons who are not acutely ill and not in need of hospital care, but who require skilled nursing care and related medical services— (1) which is operated in connection with a hospital, or (2) in which such nursing care and medical services are prescribed by, or are performed under the general direction of, persons licensed to practice medicine or surgery in the State. That rather confines the original broad interpretation of nursing home by having it in conjunction with the hospital. I wondered if you had any comments on that. Mr. MUSE. Yes, Mr. Chairman; we have, and I can best illustrate what my comments would be by citing to you the fact in my State of Massachusetts there are over 10,000 patients being served in nursing homes, distributed throughout the entire Commonwealth in 457 nursing homes, so that it would be of little assistance to the overwhelming numbers of these patients if only, for instance, in the metropolitan area of Boston the 4 or 5 hospitals there had an annex and in those cases it would not be feasible because they don't have the space or the land, nor do they have the inclination in our hospitals, but it would not be feasible to set up nursing homes that are ancillary to the hospitals if we have in our mind servicing the people where their servic ing is required in the communities probably 150 miles away from Boston or 150 miles in the opposite direction from Pittsfield. The needs are in the local towns and in the small cities, and that is our problem, and I would like to reemphasize it: There are over 10,000 patients receiving that type of care, as pointed out in exhibit A, which is typical, and I am asking you to note the range of the patients and from whence they came and under whom they are being sponsored, and who is responsible for their care. This is typical of the nursing-home problem, and I hope that we would not confuse what the hospitals may legitimately need while at the same time we are serving the great needs that are attendant upon the nursing-home field, so that we have offered an amendment whereby the term "nursing home" would mean: Provided, that such services are prescribed by a person licensed to practice medicine in the State of the care of the patient is under the formal supervision of a person licensed to maintain a nursing or convalescent home in the State. We are trying to make this broad enough so that the nursing-home facilities will be able to be distributed throughout the country, and I would like to emphasize, if I may, Mr. Chairman, this point: That, if this type of guaranteed loan is made available, virtually there will be a wholesale demand for it on the part of nursing-home administrators who have not been able to make long-term capital improvements on their properties; and before they can even get it they must apply to a bank which will make inquiry as to their ability and capacity to repay the loan. That would be the first check. The second check would be in the Government administration itself to see that it would be a worth-while project and located most likely where a nursing home would be self-amortizing. With those two checks, we would find the nursing homes would be put up with a more rapid facility than is being dreamed of under the present bill in its present form. Senator GOLDWATER. The reason I mentioned this to you: In my interpretation of this, it goes quite a long ways in taking the Govern ment out of competition with the private nursing home the addition of this committee amendment in the House that says "which is oper ated in connection with a hospital"-in other words, these have to be applied for locally. They just can't be dreamed up. Now, if you apply locally, they couldn't just apply to build a nursing home in such-and-such a place. It would have to be connected with the hospital. The hospital would have to make the request. I think that this is quite in your favor, and I was wondering if you were acquainted with it because we will have to consider this, too, and it will be considered on the floor. Both that (1) and (2) of (o) on page 15 seems to me to take the Government pretty much out of competition. I agree with you. I don't like the Government getting into the field of free enterprise. By the same token, I like to see free enterprise do their own financing. Mr. MUSE. Well, Mr. Chairman, we feel generally the Hill-Burton Act has been a magnificent instrument in the progress of the public health of this country. We believe its original intent was to help the rural areas. We believe it has accomplished that. Now they are using this wonderful instrument that has worked for good, finding some other place to use it and now using it in a field that has not been properly surveyed; and I raise the problem of construction cost only to indicate to this committee that we can raise reasonable doubts about other references made in nursing homes if such a glib figure of $8,000 is being used as a normal construction cost. Senator HILL. Of course, a nursing home could be built in connection with a hospital today under the existing law? Senator GOLDWATER. That is right. Senator HILL. But you have had no complaint about that, have you? That hasn't intruded on your private enterprise? Mr. MUSE. No: it hasn't. Senator GOLDWATER. I think what they are objecting to, Senator Hill, is the fact this bill attacks the nursing homes or, let's say, comes and mentions the nursing home as a new area in which this bill can work or which the Government can work. Isn't that correct? Mr. MUSE. That is right. Senator GOLDWATER. And you would like this bill we are considering now, S. 2758, to exclude the nursing home in its scope? Mr. MUSE. That is right, Mr. Chairman. Senator GOLDWATER. I think we understand each other on that, but I do wish you would study the House language and see if you don't agree that pretty much does it. It puts it back to where it is today, practically. Under the existing Hill-Burton Act, nursing homes could be built in conjunction with hospitals, and that, in effect, is what this language says. Mr. MUSE. Well, we Senator GOLDWATER. Now, the only thing that remains, if that is true, is your request that funds be available from the Government for financing the constructing of nursing homes; and, just as a point of interest to me, because I am on the banking and currency committee, does the SBA, Small Business Administration, cover the nursing homes? Mr. MUSE. It does. Senator GOLDWATER. You can borrow money from the SBA for that purpose? Mr. MUSE. Mr. Mustin has made application to the SBA for this. 46293-54-pt. 1-15 |