Long-term care institutions must have an average area of at least 16 m2 per senior citizen receiving care.

In addition to rules stipulated in Article 4, facilities and equipment of long term care institutions should also qualify for the following:
(1).Dormitory:
A. Floor area per person should be more than 7 square meters. The number of beds should not exceed 6 beds per room.
B. Handrail and height-adjustment gears should be set up on each bed. The distance between the end of the bed and the wall should be at least 1 meter.
C. Simple hygiene facilities should be set up on each room for institutions with more 50 senior citizens accommodated.
(2).Nursing stations:
A. Preparation area and working cart.
B. Closet for nursing records and closet for medicine, medical equipments, and refrigerators for medicine.
C. Adequate equipments for emergency rescue: oxygen, nasal passage, artificial air passage, oxygen mask, sucking equipments, laryngoscopes, inner tube for air passage, resuscitation bags, regular emergency medicines.
D. Wheelchair.
E. Pollutant or medical waste collection equipment.
(3).Width of the aisle in the nursing area should be at least 140 centimeters and the width should be at least 160 centimeters for aisles with dormitories on either side.
(4).Locations for daily activities: Cafeteria, space and facilities needed for recreational activities should be set up with the average space per person of at least 4 square meters. However, the corridor area is not included.
(5).Air conditioning equipments: Central air-conditioning systems must be equipped with an automatic power-off function through fire alarm systems or other equipment.
(6).Generators or other power-generating equipment.
(7). Other facilities: dedicated ramps for hospital beds or wheelchairs must be installed at the main corridor steps.
For senior citizen welfare institutions established before the implementation of these amended standards on February 5, 2021, corridors used as a space for daily activities may be included in the total activity area.

The work and staffing requirements of long-term care institutions, in addition to those for the directors overseeing the institutions, are as follows:
(1).Nursing personnel
A. Maintain a minimum of one person on duty at all times.
B. One nurse must be appointed for every 15 senior citizens cared for. Any number less than 15 is treated as 15.
(2).Social workers: One social worker must be appointed for every 100 senior citizens cared for. Any number less than 100 is counted as 100. However, special arrangements can be made for cases of fewer than 49 senior citizens. In such cases, social workers must work a minimum of 16 hours per week.
(3).Care givers:
A. Maintain a minimum of one Taiwanese caregiver on duty at all times.
B. One caregiver must be appointed for every five senior citizens cared for during the daytime. Any number less than five is treated as five.
C. One caregiver must be appointed for every 15 senior citizens cared for during the night. Any number less than 15 is treated as 15.
Welfare institutions may employ part-time personnel in addition to the personnel described in the preceding paragraphs. However, part-time personnel must not exceed one-third of the professionals in a certain category, and each staff member must work for minimum of 16 hours per week.
“Daytime” in paragraph 1, subparagraph 3 refers to 8 am to 8 pm, and “night” refers to 8 pm to 8 am.
Institutions may appoint administrative staff, medical staff, and other staff members depending on their operational needs. Such staff members must comply with all medical laws and regulations when providing medical care services.

Senior citizens attended by the long term care institutions should be diagnosed by doctor and at one visit per month by the doctor depending on the medical needs of the senior citizens.

Long term care institutions should, following laws related to medical staffs, keep good record of dossier abstracts from referral services and doctor’s diagnosis as well as record of nursing history.
The dossier abstract and the record of nursing history shall be managed by designated staff.