reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 86 - NURSING FACILITIES/LICENSING - ADMINISTRATION AND SERVICES › Section 411-086-0310 - Employee Orientation and In-Service Training

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Orientation.
			 The nursing facility shall ensure that each employee, temporary employee, and
			 volunteer completes an orientation program sufficient to ensure that the safety
			 and comfort of all residents is assured in accordance with facility policies
			 (OAR 411-085-0210). Orientation to
			 each task must be completed prior to the employee or volunteer performing such
			 task independently. Orientation for nursing staff and nursing assistants in
			 training shall be supervised by a registered nurse. The orientation shall
			 include:
(a) Explanation of facility
			 organizational structure;
(b)
			 Philosophy of care of the facility, including purpose of nursing facility
			 requirements as defined in these administrative rules;
(c) Description of resident
			 population;
(d) Employee rules;
			 and
(e) Facility policy and
			 procedures.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 86 - NURSING FACILITIES/LICENSING - ADMINISTRATION AND SERVICES › Section 411-086-0320 - Emergency and Disaster Planning

Current through Register Vol. 63, No. 7, July 1, 2024
An emergency preparedness plan is a written procedure that
				identifies a facility's response to an emergency or disaster for the purpose of
				minimizing loss of life, mitigating trauma, and to the extent possible,
				maintaining services for residents, and preventing or reducing property
				loss.
(1) The nursing facility must
			 prepare and maintain a written emergency preparedness plan in accordance with
			 the Oregon Fire Code (OFC) in OAR chapter 837, division 040 and the 2009
			 National Fire Protection Association (NFPA) 101 Life Safety Code.
(2) The emergency preparedness plan must:
(a) Include analysis and response to
			 potential emergency hazards including but not limited to:
(A) Evacuation of a facility;
(B) Fire, smoke, bomb threat, or
			 explosion;
(C) Prolonged power
			 failure, water, or sewer loss;
(D)
			 Structural damage;
(E) Hurricane,
			 tornado, tsunami, volcanic eruption, flood, and earthquake;
(F) Chemical spill or leak; and
(G) Pandemic.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 86 - NURSING FACILITIES/LICENSING - ADMINISTRATION AND SERVICES › Section 411-086-0330 - Infection Control and Universal Precautions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Infection Control:
(a) The Quality Assurance and Assessment
			 Committee shall establish, maintain and enforce an infection control program,
			 including universal precautions and isolation procedures, which assures
			 protection of residents and staff from infections;
(b) The committee shall meet quarterly and as
			 needed to review facility policies, procedures, and monitor staff performance
			 relative to infection control. These meetings and the results thereof shall be
			 documented;
(c) In reviewing and
			 developing facility infection control policies and procedures, the committee
			 shall consider all guidelines relative to infection control issued by the
			 Division and by the Center for Disease Control, Atlanta, GA.
(d) Facilities must comply with masking
			 requirements as prescribed in OAR
			 333-019-1011 or, if applicable,
			 OAR 437-001-0744, to control the
			 spread of COVID-19.
(e) Facilities
			 must comply with vaccination requirements for COVID-19 as prescribed in OAR
			 333-019-1010. Facilities must
			 maintain proof of vaccination or documentation of a medical or religious
			 exemption as required in OAR
			 333-019-1010(4).
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 86 - NURSING FACILITIES/LICENSING - ADMINISTRATION AND SERVICES › Section 411-086-0340 - Pets

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Pets Allowed.
			 Household pets (dogs, cats, birds, fish, hamsters, etc.) are permitted in the
			 nursing facility under the following conditions:
(a) Pets must be clean and
			 disease-free;
(b) Immediate
			 environment of pets must be kept clean;
(c) Small pets (e.g., birds, hamsters) must
			 be kept in appropriate enclosures;
(d) Pets not confined in enclosures must be
			 hand held, under leash control, or under voice control; and
(e) Pets that are kept at the facility (or
			 are frequent visitors) shall have current vaccinations as recommended by a
			 designated licensed veterinarian (including, but not limited to,
			 rabies).
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 86 - NURSING FACILITIES/LICENSING - ADMINISTRATION AND SERVICES › Section 411-086-0350 - Smoking

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A nursing
			 facility must be in compliance with:
(a) The
			 Oregon Indoor Clean Air Act, ORS
			 433.835 to
			 433.875;
(b) The rules in OAR chapter 333, division
			 015; and
(c) Any other applicable
			 state and local laws.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 86 - NURSING FACILITIES/LICENSING - ADMINISTRATION AND SERVICES › Section 411-086-0360 - Resident Furnishings, Equipment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Resident Equipment:
(a) Each resident shall be provided a bed,
			 mattress, pillow with water-proof protection, necessary bed coverings, bedside
			 table and chair, reading light, and electrically operated call system which
			 registers at the nurses' station. The call system cord shall be secured in a
			 manner which makes it accessible to the resident and which prevents the
			 resident from injuring himself/herself with it;
(b) According to his/her needs, each resident
			 shall be provided with individual equipment, such as bedpans, bedpan covers,
			 urinals, washbasins, emesis basins, mouthwash cups, soap, washcloths, towels,
			 and drinking glasses;
(c) Equipment
			 such as wheelchairs, walkers, geri-chairs and crutches shall be readily
			 available for residents needing this equipment;
(d) After the discharge of any resident, the
			 bed, bed furnishings, bedside furniture, and all multiple-use resident
			 equipment shall be thoroughly cleansed and disinfected prior to re-use.
			 Mattresses shall be professionally renovated when necessary;
(e) Single resident use items must be
			 identified with resident name and disposed of upon resident
			 discharge;
(f) Hot water bags and
			 electric heating pads or blankets may be used only on the written order of the
			 physician;
(g) In nursing
			 facilities caring for pediatric residents, an emergency signaling system for
			 use by attendants summoning assistance and a two-way voice intercommunication
			 system between the nurses' station and rooms or wards housing pediatric
			 residents shall be provided.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0005 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
As used in OAR 411, division 87, the definitions in OAR 411,
				division 85 and following definitions apply:
(1) "ASHRAE" means the American Society of
			 Heating, Refrigerating, and Air-Conditioning Engineers, Inc.
(2) "Calling Station" means an individual
			 light, or other electrically operated visual signalling device, with or without
			 audio signaling device, which is located at a nursing station and which
			 effectively alerts nursing staff to a specific room or location from which a
			 resident or other staff is requesting assistance.
(3) "Clearly Marked Emergency Power Duplex
			 Receptacle" means an outlet for standard household current (110 volts)
			 connected to an emergency power supply in accordance with the
National
			 Electrical Code
and
NFPA 99
and clearly marked to easily
			 distinguish the outlet from an outlet not on the emergency power
			 supply.
(4) "Continuously Licensed"
			 means licensed as a nursing facility without interruption.
(5) "Easily Cleanable" means surfaces are
			 readily accessible and made of materials and finish and fabricated so residue
			 may be effectively removed by normal cleaning methods.
(6) "Locked Unit" means a nursing facility or
			 a part of a nursing facility, including resident rooms, from which egress is
			 restricted by secured doors.
(7)
			 "NFPA" means National Fire Protection Association, Inc.
(8) "Nursing Station" means a location at
			 which nursing staff perform charting and related activities throughout the day
			 and at which a calling station exists.
(9) "Resident Room" means a room in the
			 facility licensed for one or more beds.
Publications: Publications referenced are available from the
				  agency.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0010 - New and Old Construction, Remodeling, Certificate of Need

Current through Register Vol. 63, No. 7, July 1, 2024
(1) New
			 Construction. New construction shall not be eligible for "exceptions" as
			 provided in these rules (OAR 411-087) unless specifically authorized by the
			 Division. All such alterations, additions, conversions in use, and renovations
			 shall be subject to plan review in accordance with section (3) of this
			 rule.
(2) Old Construction:
(a) Where specifically provided within OAR
			 411-087-0010 -
			 411-087-0490, facilities which
			 have been continuously licensed and operational since January 1, 1992 may be
			 exempt from certain specified physical environment requirements. Such
			 exemptions do not apply if there is a change in the purpose for which the room
			 is licensed; e.g., a room which has not been continuously licensed as a
			 resident room must comply with the requirements for new construction in order
			 to be licensed as a resident room. The Division, however, may terminate an
			 exemption if the Division determines that continuation of the exemption
			 adversely impacts the facility's ability to otherwise meet nursing facility
			 law. The exemption may be discontinued if the area subject to the exemption
			 incurs major alterations as defined in OAR
			 411-085-0005;
(b) Notwithstanding the "exceptions" provided
			 for in these rules, facilities constructed prior to January 1, 1992 shall, when
			 replacing equipment or remodeling areas subject to such exceptions, comply with
			 the rules to the greatest extent reasonable. Subsection (2)(b) of this rule
			 does not apply to new construction;
(c) Under no circumstances are the
			 "exceptions" provided for in these rules intended to allow a facility that
			 already meets or previously met these rules without the exception provision to
			 be exempt from meeting the rules without the "exception provision."
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0020 - Referenced Regulations

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to meeting OAR 411, division 087, the following
				additional requirements must be met except where determined by the Division to
				not be applicable to nursing facilities. Licensure is contingent on approval of
				the agency having enforcement authority:
(1) Building and Fire Safety Codes:
(a) State Building Codes as adopted by the
			 Oregon Building Codes Division;
(b)
			 Local building codes and requirements as adopted by local government
			 agencies;
(c) State and local fire
			 codes, NFPA 101 and applicable referenced NFPA publications; and
(d) All facilities and construction completed
			 after January 1, 1992, shall comply with the
American National Standards
			 Institute's
"
Providing Accessibility and Usability for Physically
			 Handicapped People
"
effective February 5
,
1986
, and
Title III
of the
American with Disabilities
			 Act of 1990
.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0030 - Waivers for Physical Environment Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Request. Any request for a waiver of
			 these building requirements (OAR 411, division 087) shall comply with OAR
			 411-085-0040
			 (2) Duration. The Division may grant waivers
			 for building requirements for a period not to exceed ten years; however, such
			 waiver may be rescinded if the Division determines continuance of the waiver
			 has a potential adverse impact on resident well-being, privacy or
			 dignity.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0100 - Physical Environment Generally

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Good Repair and Cleanliness:
(a) All interior and exterior surfaces (e.g.,
			 floors, walls, roofs, ceilings, windows, and furniture) and equipment necessary
			 for the health, safety, and comfort of the resident shall be kept clean and in
			 good repair;
(b) All interior
			 surfaces shall be easily cleanable;
(c) Measures shall be taken which prevent the
			 entry of rodents, flies, mosquitoes, and other insects;
(d) The facility grounds shall be kept
			 orderly and free of litter and refuse.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0110 - Administrative Area

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Office Space.
			 General or individual office(s) shall be provided for business transactions,
			 medical and financial records, and administrative and professional
			 staff.
(2) Interview Space.
			 Interview space(s) shall be provided for private interviews relating to social
			 service, credit, and admissions.
(3) Storage. Storage for office equipment,
			 supplies and clinical records shall be provided.
(4) Lighting. Lighting intensity shall comply
			 with
Table 4
.
Tables referenced are available from the
				  agency.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0120 - Signs

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Resident Rooms.
			 All resident rooms shall be clearly identified by room number. Room numbers
			 shall be no less than one inch high and shall contrast with their background
			 (light characters on dark background or dark characters on light background).
			 Such signs shall be located in order to be easily readable to all residents,
			 including those in wheelchairs.
(2)
			 Other Rooms. All other rooms used by residents shall be clearly identified by
			 name (e.g., "Dining Room," "Activity Room") with letters as described in
			 section (1) of this rule.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0130 - Resident Care Unit

Current through Register Vol. 63, No. 7, July 1, 2024
Each resident care unit shall provide the following:
(1) Resident Rooms. Each resident room shall
			 meet the following requirements:
(a)
			 Capacity. Maximum room capacity shall be four residents;
(b) Size:
(A) Minimum room areas exclusive of toilet
			 rooms, closets, lockers or wardrobes, alcoves or vestibules shall be 120 square
			 feet in single-bed rooms and 100 square feet per bed in multi-bed rooms:
(i) Room dimensions shall allow at least
			 three feet between the side of each bed and any wall;
(ii) Room dimensions shall allow at least
			 four feet between adjacent beds and three feet six inches at the foot of each
			 bed;
(iii) Beds may be rearranged
			 to satisfy the needs and desires of individual residents; and
(iv) At least 50 percent of the resident
			 rooms shall be designed to allow a five foot diameter circle of clear floor
			 area for turning of wheelchairs immediately inside the resident room entrance
			 and immediately outside each resident toilet room.
(B) In facilities caring for pediatric
			 residents where bed size does not exceed that of a six-year crib, the minimum
			 floor space allowance shall be 60 square feet for each crib;
(C) Space shall be provided in each room for
			 an armchair, geriatric chair or wheelchair for each resident.
(c) Closet. Each
			 resident shall have a wardrobe locker or closet within the resident's room.
			 Each locker or closet shall have minimum clear dimensions of 30 inches by 24
			 inches by 60 inches. The space shall include a rod, at least 15 inches long,
			 with 54 inches (vertical) of hanging space;
(d) Lockable Storage. Each resident shall be
			 provided with a lockable closet or drawer with a minimum of 0.5 cubic feet. The
			 lockable storage space may be included within the closet space defined in
			 subsection (1)(c) of this rule;
(e)
			 Privacy. The facility shall provide full visual privacy by means of cubicle
			 curtains for each resident in multi-bed rooms. Design for privacy shall not
			 restrict the exit/access of other residents from/to the resident room, handwash
			 sink, or toilet. "Full visual privacy" in a multi-bed room means curtains which
			 prevent staff, visitors and other residents from seeing a resident in bed, but
			 which allow staff, visitors and other residents access to the toilet room,
			 handwash sink and entrance;
(f)
			 Door. Each resident room shall have a door which directly accesses an exit
			 corridor. The door opening shall have a horizontal clearance of 44 inches and
			 shall not swing into the exit corridor;
(g) Other Requirements. See rules relating to
			 lighting (OAR 411-087-0430), toilets and
			 handwash sinks (411-087-0310), nurse call
			 systems (411-087-0440) and windows
			 (411-087-0400).
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0140 - Locked Units

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Dining,
			 Activities, Living Space. Each locked unit shall have dining, activities and
			 living space within the locked unit. The total area of such space shall be the
			 same as if the locked unit was a separately licensed nursing
			 facility.
(2) Nurses' Station.
			 There shall be at least one nurses' station within each locked unit.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0150 - Nurses' Station

Current through Register Vol. 63, No. 7, July 1, 2024
Each floor with resident rooms shall have a nurses' station
				with space for charting and storage for administrative supplies:
(1) Handwash Sink. There shall be a handwash
			 sink, exclusive of resident and soiled utility room handwash sinks, within 20
			 feet of the nurses' station.
(2)
			 Exceptions. The handwash sink required in section (1) of this rule is not
			 required in a facility which has been continuously licensed since January 1,
			 1992 unless otherwise provided by OAR
			 411-087-0010.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0200 - Dietary Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Food
			 Sanitation Rules. Construction, equipment, and installation shall comply with
			 OAR 333, division 150.
(2) Food
			 Preparation Areas. The dietary services area shall include:
(a) Space and equipment for preparing,
			 cooking, and baking;
(b) Ice making
			 equipment which is easily cleanable. All ice dispensing equipment which is not
			 in the dietary services area but is accessible to residents shall be
			 self-dispensing;
(c) Space for tray
			 assembly and distribution;
(d)
			 Handwash sink; and
(e) Design shall
			 provide for flow of clean items/food and soiled items/food in a manner which
			 avoids potential for contamination.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0210 - Therapy Services

Current through Register Vol. 63, No. 7, July 1, 2024
The facility shall have a therapy services room(s) to support
				services such as physical, occupational and speech therapy, and special
				programs:
(1) Treatment Areas. The
			 therapy services area shall include:
(a) A
			 minimum floor area of 250 square feet, sufficient to meet therapy service needs
			 as outlined in facility policies;
(b) Space and equipment for facility programs
			 which may include thermotherapy, diathermy, ultrasonics, and hydrotherapy. A
			 cubicle curtain shall be provided around each individual treatment area.
			 Provisions shall include handwash sink (one sink may serve more than one
			 cubicle);
(c) Space and equipment
			 for exercise;
(d) Storage for clean
			 and soiled linens, supplies and equipment (including wheelchairs and
			 stretchers); and
(e) Deep sink, a
			 minimum of 22 inches by 21 inches by ten inches deep. The deep sink may also
			 serve as the handwash sink.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0220 - Pharmacy Services

Current through Register Vol. 63, No. 7, July 1, 2024
Provision shall be made for the procurement, storage,
				dispensing, and accounting of drugs and other pharmacy products:
(1) Off-Site Provider Allowance.
			 Pharmaceutical services may be by arrangement with a convenient off-site
			 facility but must include provisions for 24-hour emergency service.
(2) Pharmacy/Drug Room. When provided, the
			 phar-macy/drug room shall be well-lighted (see
Table 4
), properly
			 ventilated (see
Table 2
) and include a medication refrigerator and
			 a sink with hot and cold running water. The pharmacy/drug room may be combined
			 with the clean utility room (see OAR
			 411-087-0320).
(3) Drug Distribution Stations. Provision
			 shall be made for convenient 24-hour distribution of medicine to residents.
			 This may be a medicine preparation room or unit, a self-contained medicine
			 dispensing unit or by another approved system. If used, a medicine preparation
			 room shall be under the nursing staff's visual control and contain a work
			 counter, handwash sink, refrigerator, and locked storage for biologicals and
			 drugs. A medicine dispensing unit may be located at or near the nurses'
			 station, in the clean utility room or in another space under direct control of
			 the nursing staff.
(4) Exceptions.
			 Facilities which have been continuously licensed since January 1, 1992 are not
			 required to have a handwash sink within the drug distribution station unless
			 otherwise provided by OAR
			 411-087-0010.
Tables referenced are available from the
				  agency.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0230 - Laundry Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) On-Site
			 Processing. If linen is to be processed on-site, the following shall be
			 provided:
(a) A processing area which cannot
			 be entered directly from the resident corridor;
(b) A laundry processing room with equipment
			 which can process even days' needs within a regularly scheduled work week. The
			 laundry services area shall include a handwash sink and soiled linen receiving,
			 holding and sorting areas;
(c)
			 Ventilation in accordance with
Table 2
;
(d) Storage for laundry supplies;
(e) Clean linen inspection, mending and
			 folding room or area;
(f) Janitor's
			 closet or alcove containing a floor receptor or service sink and storage space
			 for housekeeping equipment and supplies; and
(g) The design shall provide for flow of
			 clean and soiled laundry and supplies in a manner which avoids potential for
			 contamination.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0240 - Personal Care Services

Current through Register Vol. 63, No. 7, July 1, 2024
Separate room or designated space and appropriate equipment
				shall be provided for hair care and grooming needs of
				residents.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0250 - Day Care Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Facilities
			 admitting day care residents shall have 40 square feet of dining, recreation,
			 living and sleeping areas in addition to space required for other
			 residents.
(2) Facilities admitting
			 day care residents shall have either an unassigned bed or a folding cot in an
			 area where rest and privacy can be provided for each resident.
(3) There shall be one toilet and one
			 lavatory available for every 15 day care residents. Such facilities shall be in
			 close proximity to the area used by day care residents.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0300 - Residents' Dining, Activities and Living Areas

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Area Requirement. The total area
			 available for dining, activities, visitor waiting and living shall be not less
			 than 30 square feet per bed with a minimum size of 225 square feet. Additional
			 space shall be provided for outpatients if they participate in a day care
			 program.
(2) Storage. Storage space
			 shall be provided for activity equipment and supplies.
(3) Living Areas. Each facility shall have a
			 solarium, living room, or sun porch for the use of residents on each floor.
			 Such rooms must be provided with mechanical ventilation or with windows that
			 open.
(4) Lighting. Lighting
			 intensity of all dining, activities and living areas shall comply with
Table 4
.
(5)
			 Exceptions. Facilities continuously licensed since January 1, 1992, shall not
			 be required to meet the area requirements for dining, activities, visitor
			 area/lounge and living space (30 square feet per bed) unless otherwise provided
			 by OAR 411-087-0010.
Tables referenced are available from the
				  agency.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0310 - Toilet, Handwashing, and Bathing Areas

Current through Register Vol. 63, No. 7, July 1, 2024
(1) General Requirements:
(a) Temperature. Hot water at shower, bathing
			 and handwash sink areas shall not exceed 120 degrees Fahrenheit (49 degrees
			 Celsius) or be lower than 105 degrees Fahrenheit (41.5 degrees
			 Celsius);
(b) Grab Bars. Grab bars
			 shall be provided at all residents' toilets, showers, tubs and sitz baths. The
			 bars shall have 1-1/2 inch (3.8 cm) clearance to walls and shall have
			 sufficient strength and anchorage to sustain a concentrated load of 250 pounds
			 (113.4 kilograms). Grab bars shall be returned to the wall or otherwise be
			 constructed to prevent snagging clothes;
(c) Emergency Access. All rooms containing
			 bathtubs, sitz baths, showers, and toilets shall be equipped with doors and
			 hardware which will permit access from the outside in any emergency. When such
			 rooms have only one opening or are smaller than 25 square feet, the doors shall
			 be capable of opening outward or are smaller than 25 square feet, the doors
			 shall be capable of opening outward or be otherwise designed to be opened
			 without need to push against a resident who may have collapsed within the
			 room;
(d) Accessibility. Toilets,
			 handwash sinks, and baths shall be provided in accordance with the
American National Standards Institute's "Providing Accessibility and
			 Usability for Physically Handicapped People," effective February 5, 1986,
and
Title III
of the
Americans with Disabilities Act
			 of 1990
;
(e) Nurse Call
			 System. See OAR 411-087-0440.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0320 - Soiled and Clean Utility Rooms

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Soiled Utility Room. The facility shall
			 have one or more soiled utility rooms equipped to pre-rinse soiled linens and
			 equipment. Each floor with resident rooms shall have a soiled utility room on
			 the same floor within 120 feet of each resident room. The soiled utility room
			 shall be equipped with:
(a) Handwash sink.
NOTE:
If a two compartment sink is used to meet
				subsection (1)(b) of this rule, a separate handwash sink is not
				required.
(b) A mechanical
			 sanitizer or two compartment deep sink (minimum dimensions for each compartment
			 of 19 inches by 22 inches by ten inches deep) with hot and cold running water
			 large enough to provide for disinfection of resident care equipment;
(c) A flush rim clinical sink with washing
			 device;
(d) A work
			 counter;
(e) Area for storage of
			 linen and trash receptacles;
(f)
			 Mechanical ventilation (see
Table 2
); and
(g) Storage space. Clean urinals and bedpans
			 may be stored in a closable cabinet in the soiled utility room. Other clean
			 supplies and equipment may not be stored in the soiled utility room.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0330 - Employee Rooms

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Rooms Required.
			 The facility shall have an employee lounge and room(s) for conferences,
			 meetings and inservice training. This requirement may be met with a
			 multi-purpose room, but must be in addition to space required for
			 residents.
(2) Exceptions.
			 Facilities continuously licensed since January 1, 1992 shall be exempt from
			 section (1) of this rule unless otherwise provided by OAR
			 411-087-0010.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0340 - Storage Rooms

Current through Register Vol. 63, No. 7, July 1, 2024
(1) General
			 Storage. General storage room(s) shall have a total area of not less than five
			 square feet per bed. This space shall include an equipment storage room on each
			 floor (which has resident rooms) for equipment such as I.V. stands, inhalators,
			 air mattresses, and walkers. Separate storage space shall be provided for
			 storage of commodes (this may be in the soiled utility room). There shall also
			 be space located out of the path of normal traffic on each floor for stretchers
			 and wheelchairs.
(2) Linen, Food.
			 There shall be separate areas for storage of clean linens and food.
(3) Maintenance Equipment and Supplies. Space
			 shall be provided for storage of building and yard maintenance equipment and
			 supplies which are kept at the facility.
(4) Exceptions. Facilities continuously
			 licensed since January 1, 1992 shall be exempt from the square footage
			 requirements in section (1) of this rule unless otherwise provided by OAR
			 411-087-0010.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0350 - Maintenance and Housekeeping

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Maintenance Areas. The facility shall have a maintenance shop or area and tools
			 required for equipment maintenance.
(2) Janitor's Closet:
(a) Location. In addition to the janitor's
			 closet required in dietary, there shall be a minimum of one janitor's closet on
			 each floor. There shall be a janitor's closet within 120 feet of every resident
			 room;
(b) Design. Each janitor's
			 closet shall contain a floor receptor or service sink with hot and cold running
			 water and storage space for housekeeping equipment and supplies. All such
			 closets shall have mechanical ventilation pursuant to
Table 2
and
			 a light fixture and wall switch.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0360 - Hallways, Corridors and Stairways

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Dimensions. All resident
			 corridors/hallways serving resident living areas shall be a minimum of eight
			 feet in width.
(2) Obstructions.
			 Items such as drinking fountains, telephone booths, vending machines, and
			 portable equipment shall be located so as not to restrict corridor traffic or
			 reduce the corridor width below the required minimum.
(3) Handrails:
(a) Handrails shall be provided on both sides
			 of corridors used by residents and on all stairways. A minimum clear distance
			 of 1-1/2 inches (3.8 cm) shall be provided between the handrail and the
			 wall;
(b) Ends of handrails shall
			 be returned to the wall or otherwise be constructed to prevent snagging the
			 clothes of residents.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0400 - Doors and Windows

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Doors:
(a) Interior doors:
(A) The minimum width of all doors to rooms
			 with beds shall be three feet, eight inches (1.12) meters clear opening and six
			 feet, eight inches (2.03 meters) high. Doors to rooms needing access for
			 stretchers, residents' toilet rooms and rooms needing access for wheelchairs
			 shall have a minimum width of two feet, eight inches (85.82 cm) clear
			 opening;
(B) Doors on all openings
			 to corridors shall be swing type;
(C) Space shall be provided in front and
			 adjacent to doors to allow space for persons in wheelchairs;
(D) Doors, except those to spaces such as
			 small closets (less than ten cubic feet) which are not subject to occupancy,
			 shall not swing into corridors in a manner that might obstruct traffic flow or
			 reduce the required corridor width. Closet that are ten or more cubic feet are
			 considered as occupiable spaces;
(E) Interior doors which go between areas
			 frequented by residents and which may be locked shall have electromagnetic
			 locks which automatically release in the event of fire alarm or power
			 failure.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0410 - Floors, Ceilings and Walls

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 General Requirements:
(a) Finish, trim, wall
			 and floor construction shall be free from spaces that can harbor rodents and
			 insects;
(b) Finish on walls,
			 floors and ceilings in resident areas shall provide for a low sheen surface to
			 minimize reflected glare;
(c) Rooms
			 containing heat producing equipment (such as boiler or heater rooms and
			 laundries) shall be insulated and ventilated to prevent any floor surface above
			 from exceeding a temperature ten degrees Fahrenheit (six degrees Celsius) above
			 the ambient room temperature;
(d)
			 The noise reduction criteria shown on
Table 1
shall apply to
			 partition, floor, and ceiling construction in resident areas.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0420 - Electrical Systems: General

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Panelboards. Panelboards serving lighting and appliance circuits shall be
			 located on the same floor as the circuits they serve. This requirement does not
			 apply to emergency system circuits.
(2) Receptacles (Convenience Outlets):
(a) Resident Room. Each resident room shall
			 have duplex grounding type receptacles as follows: Two located near the head of
			 each bed, and one for television if used, and one on another wall;
(b) Corridors. Duplex grounding receptacles
			 for general use shall be installed approximately 50 feet (15.24 m) apart in all
			 corridors and within 25 feet (7.62m) of ends of corridors;
(c) GFI Outlets. All outlets within five feet
			 of a sink shall be a GFI type outlet. The resident sink located either in the
			 resident room or the adjacent resident toilet room shall have a GFI type outlet
			 located within five feet of the sink.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0430 - Electrical Systems: Lighting

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Purpose. The purpose of this rule is to help ensure nursing facility lighting
			 which provides the best visual acuity possible for nursing facility residents.
			 Facility design should consider that, due to the normal aging process, the
			 older person requires higher levels of illumination, is much more sensitive to
			 glare, and requires greater time to adapt to changes in light levels. The older
			 adult generally has reduced contrast sensitivity. Proper lighting is important
			 in promoting personal independence, psychosocial well-being, minimizing need
			 for staff intervention and preventing accidents.
(2) Lighting Required:
(a) All spaces occupied by people, machinery,
			 equipment within buildings, approaches to buildings, and parking lots shall
			 have lighting;
(b) Light Fixtures.
			 Light fixtures shall be designed to minimize direct glare; e.g., indirect or
			 diffused lighting, and to minimize energy consumption. Bare light bulbs or
			 tubes are not allowed in resident areas or food preparation areas;
(c) Lighting Intensity. Lighting fixtures and
			 circuitry shall have the capability of providing the lighting intensities shown
			 in
Table 4
.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0440 - Electrical Systems: Alarm and Nurse Call Systems

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Exit Door Alarm. The facility shall have
			 an exit door alarm system which alerts the staff when an exit door is opened or
			 when a resident departs, or any other system determined to be acceptable to the
			 Division (such determination shall be in writing).
(2) Nurse Call System:
(a) Resident Rooms. Each resident room shall
			 be served by an electric nurse call system. Each resident shall have a nurse
			 call button which may be easily located to allow the resident to summon nursing
			 staff. Two call buttons serving adjacent beds may be served by one calling
			 station;
(b) Bath, Toilet and
			 Shower Rooms. Each bath, toilet and shower room must have an electric call
			 system;
(c) Nurses' Station. The
			 nurse call system shall register all calls at the nurses' station by both a
			 visible and audible signal. The nurse call system shall also register a visible
			 signal in the corridor adjacent to the door of the room from which the signal
			 originated:
(A) The visible signal shall
			 remain on until turned off at the location where the signal
			 originated;
(B) In multi-corridor
			 nursing units, additional visible signals shall be installed at corridor
			 intersections.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0450 - Heating and Ventilating Systems

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Energy Conservation. Special design
			 considerations should be given to energy conservation in accordance with
Section 53
of the
Oregon Structural Specialty
			 Code
.
(2) Temperature:
(a) Design. For all areas occupied by
			 residents, the indoor winter design temperature shall be 75 degrees Fahrenheit
			 (24 degrees Celsius). For all other occupied areas, the indoor winter design
			 temperature shall be 72 degrees Fahrenheit (22 degrees Celsius).
NOTE:
This does not preclude operation at lower
				temperatures where appropriate and resident safety is not affected.
(b) Function. For all areas
			 occupied by residents, the indoor temperature shall be maintained at not less
			 than 70 degrees Fahrenheit (21 degrees Celsius).
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0460 - Water Supply, Sewage Disposal, and Other Piping Systems

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Plumbing
			 System. All interior plumbing systems shall be installed and maintained in
			 conformance with the
State Plumbing Code
which was current at the
			 time of construction, municipal or county ordinances and to m rules of the
			 Building Codes Division governing the installation of interior supplies in
			 buildings:
(a) The material used for plumbing
			 fixtures shall be of nonabsorbent acid-resistant material;
(b) Hot water heaters and tanks:
(A) The hot water heating equipment shall
			 have sufficient capacity to supply water at sinks, showers, and tubs at 105 to
			 120 degrees Fahrenheit. Hot water supply in these areas shall not exceed 120
			 degrees Fahrenheit and not be less than 100 degrees Fahrenheit;
(B) The hot water heating equipment shall
			 have sufficient capacity to provide water in the laundry and dietary areas at a
			 minimum temperature of 160 degrees Fahrenheit;
(C) Storage tank(s) shall be fabricated of
			 corrosion-resistant metal or lined with noncorrosive material.
(c) Drainage systems. Insofar as
			 possible, draining piping shall not be installed within the ceiling nor
			 installed in an exposed location in food preparation centers, food serving
			 facilities, food storage areas, and other critical areas. Special precautions
			 shall be taken to protect these areas from possible leakage or condensation
			 from necessary overhead piping systems;
(d) Nonflammable medical gas systems. If
			 used, nonflammable medical gas system installations shall conform to the
			 requirements of
NFPA 99, Chapter 4, 1990 Edition;
(e) Clinical vacuum (suction) systems. If
			 used, clinical vacuum system installations shall be in accordance with the
			 requirements of
NFPA 99, Chapter 4, 1990 Edition;
(f) Identification. All piping in the
			 heating, ventilation, air conditioning (HVAC) and service water systems shall
			 be color coded or otherwise marked for easy identification.
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0470 - Building Sprinkler Systems

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Applicable Codes. Facilities with sprinkler systems for fire suppression shall
			 be installed to comply with the
Oregon Structural and Life Safety
			 Code
as adopted by the Oregon Building Codes Division or local
			 jurisdictions having authority.
(2)
			 Unheated Areas. Sprinkler systems located in unheated areas or above the
			 insulated ceiling system shall be of a dry type, have automatic heaters that
			 maintain a minimum temperature of 40 degrees Fahrenheit, or have an antifreeze
			 system.
Publications: Publications referenced are available from the
				  agency.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615
Oregon Administrative Rules › Chapter 411 - DEPARTMENT OF HUMAN SERVICES, AGING AND PEOPLE WITH DISABILITIES AND DEVELOPMENTAL DISABILITIES › Division 87 - NURSING FACILITIES/LICENSING - PHYSICAL ENVIRONMENT › Section 411-087-0480 - Waste Processing Systems

Current through Register Vol. 63, No. 7, July 1, 2024
Storage and disposal. Space and facilities shall be provided
				for the sanitary storage and disposal of waste. Incinerator units must be a
				system approved by the Department of Environmental Quality. Compliance with OAR
				333, division 18 is required.
Stat. Auth.: ORS
				  410.070 &
				  441.055
Stats. Implemented: ORS
				  441.055 &
				  441.615