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.

Nursing institutions established by the various levels of the government and registered as foundations (hereinafter referred to as “public and foundation nursing institutions”) must have an area of at least 16 m2 per senior citizen cared for.
Small nursing institutions must have an average area of at least 10 m2 per senior citizen cared for.

Facilities and equipment of public and foundation nursing institutions should comply with rules stipulated in Article 4 as well as the rules of the followings:
(1).Dormitory:
A. Floor area should be more than 7 square meters per person. Maximum number of beds for every room is 6.
B. Simple hygiene facilities should be set up in every dormitory for institutions with more than 50 senior citizens accommodated.
(2).Nursing station:
A. Preparation areas and working carts.
B. Nursing record cabinets, storage cabinets for medicine and medical equipment, and refrigerators for medicine.
C. First aid equipment.
D. Wheelchairs.
E. Pollutants or medical waste collection equipment.
(3).Location for daily activities: Space and equipments needed for facilities such as cafeteria and recreational activities should be set up with floor area of more than 4 square meters per person. However, the corridor area is not included.
(4).Central air-conditioning systems must be equipped with an automatic power-off function through fire alarm systems or other equipment.
(5).Other facilities and equipment: Other facilities and equipment: pollutant treatment room, laundry room, and other spaces and equipment
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. However, this is not applicable to newly built institutions and those with newly added buildings or renovated partition walls.

The work and staffing requirements of public and foundation nursing 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 20 senior citizens cared for. Any number less than 20 is treated as 20.
(2).Social workers: One social worker must be appointed for every 100 senior citizens cared for. Any number less than 100 is treated 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 eight senior citizens cared for during the daytime. Any number less than eight is treated as eight.
C. One caregiver must be appointed for every 25 senior citizens cared for during the night. Any number less than 25 is treated as 25.
Institutions mentioned in the preceding paragraph that provide care for senior citizens requiring care services that involve nasogastric tubes, gastrostomy tubes, and urinary catheters must employ nursing staff in accordance with Article 11.
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.

In addition to the rule stipulated in Article 4, facilities and equipment of small size nursing institutions should also comply with the following rules:
(1).Dormitory: Floor area should be more than 5 square meters per person. Maximum number of beds for each room is 6.
(2).Nursing station:
A. Preparation areas and working carts.
B. Nursing record cabinets, storage cabinets for medicine and medical equipment, and refrigerators for medicine.
C. First aid equipment.
D. Wheelchairs.
E. Pollutants or medical waste collection equipment.
(3).Location of daily activities: Multi-functional space and facilities should be set up.
(4).Central air-conditioning systems must be equipped with an automatic power-off function through fire alarm systems or other equipment.
(5).Toilet: At least one toilet for man and two toilets for woman for every 16 senior citizens attended. The number would be treated as 16 if the actual number of senior citizens attended is less. Another set of toilet for man and two toilets for woman will be added for any additional 16 senior citizens.
The added toilets specified in preceding paragraph 5 can be replaced by removable potty seats.

The work and staffing requirements of small nursing 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 20 senior citizens cared for. Any number less than 20 is treated as 20.
(2).Social workers: social workers are employed as full-time staff or recruited through special arrangements, in which case they 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 eight senior citizens cared for during the daytime. Any number less than eight is treated as eight.
C. One caregiver must be appointed for every 25 senior citizens cared for during the night. Any number less than 25 is treated as 25.
Institutions accepting senior citizens in need of nursing services such as nasogastric tube, gastrostomy tubes, or catheter should establish nursing staff according to the rules stipulated in Article 11.
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.

Nursing institutions that provide care services for senior citizens who require nasogastric tubes, gastrostomy tubes, and urinary catheters must report to the competent authority for permission. The number of senior citizens stated above should not exceed 1/2 of the total number originally approved. Article 12 and Article 13 will also be applied.

Floor area, facilities, equipment, and establishment of personnel for small nursing institutions registered as foundations or affiliated with foundations will apply the rules stipulated in the 1st paragraph of Article 14, Article 15 and Article 16.

Institutions caring for senior citizens with dementia must have an area of at least 16 m2 per senior citizen.

Institutions caring for dementia senior citizens should apply unit caring pattern. Basically, the number of senior citizens attended per unit shall not be more than 16 persons.

Facilities and equipment for institutions caring for dementia senior citizens should comply with the rules stipulated in Article 4 and the followings:
(1).Dormitory:
A. Floor area should be more than 7 square meters per person with one senior per room in principle. Each room shall not be equipped with more than four beds; the number of beds of all rooms for four senior citizens shall not exceed half of beds of the total units. Rooms for two senior citizens or more shall be equipped with barriers for the separation of personal living space.
B. Simple hygiene facilities should be set up in each dormitory.
C. Entrance and exit of each dormitory should connect with aisles or living rooms. Definite division between dormitories should be set up. Objects such as screen or curtain are not allowed to be used to divide dormitories.
(2).Nursing station:
A. Preparation areas and working carts.
B. Nursing record cabinets, storage cabinets for medicine and medical equipment, and refrigerators for medicine.
C. First aid equipment.
D. Pollutants or medical waste collection equipment.
(3).Basic facilities for the daily life of every unit should, in addition to dormitory, include living room, cafeteria, simply kitchen, bathing and hygiene facilities (lavatories, bathroom and toilets) and other necessary facilities.
(4).Locations for daily activities: space and equipments needed for recreational activities should be established.
(5).Central air-conditioning systems must be equipped with an automatic power-off function through fire alarm systems or other equipment.
(6). Other facilities and equipment: pollutant treatment room, laundry room, and other spaces and equipment

The work and staffing requirements of institutions providing care for senior citizens with dementia, 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 20 senior citizens cared for. Any number less than 20 is treated as 20. Nurses not overseeing nursing beds for senior citizens who require care services related to nasogastric tubes, gastrostomy tubes, and urinary catheters may also be appointed.
(2).Social workers: One social worker must be appointed for every 100 senior citizens cared for. Any number less than 100 is treated as 100. However, special arrangements can be made for cases of less 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 three senior citizens cared for during the daytime. Any number less than three is treated as three.
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.
The caregivers mentioned in subparagraph 3 of the preceding paragraph can be part-time caregivers.
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. Full-time and part-time personnel must have fixed positions, and foreigners cannot be hired as caregivers.
“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.