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In the context of fire safety and building codes for existing healthcare facilities that do not have sprinkler systems, the requirement for wall ratings is crucial for ensuring adequate fire protection. The correct option indicates that the walls must have a continuous rating from the floor to the roof. This requirement is based on the need to provide a barrier that can withstand the spread of fire and smoke, thereby protecting both occupants and the structural integrity of the building.

Continuous wall ratings help to compartmentalize different areas within a healthcare facility, which is particularly important in settings where vulnerable populations, such as patients with limited mobility, may be present. The emphasis on fire resistance in unsprinklered buildings stems from the increased risk of fire spread when active fire protection systems are absent. Having a wall system that extends fully from the floor to the ceiling serves to enhance the efficacy of passive fire protection measures.

In summary, a wall that is rated to be continuous from the floor to the roof is necessary in non-sprinklered facilities to provide the level of fire resistance needed to protect lives and property. This requirement ensures compliance with safety standards and proactive fire management strategies in healthcare environments.