Oregon Administrative Code

411-086-0100 Nursing Services: Staffing (1) STAFFING PLAN. (a) The facility must have and implement a written plan that: (A) Ensures staffing sufficient to meet the minimum staffing requirements described in sections (3), (4), and (5) of this rule; (B) Ensures staffing sufficient…

411-086-0110 Nursing Services: Resident Care (1) Nursing Services Generally. Nursing services staff shall provide and document nursing services for each resident. Nursing staff shall provide services to attain and maintain the highest practicable physical, mental and psychosocial…

411-086-0120 Nursing Services: Changes of Condition (1) Change of Condition (Generally). Nursing staff shall observe, assess, document, and report to the DNS and the resident’s physician any significant change in resident condition that warrants medical or nursing intervention, i…

411-086-0130 Nursing Services: Notification (1) Notification of Significant Other(s). The nursing care staff or other designated staff shall notify the resident’s significant others as soon as possible whenever: (a) The resident has had a change of physical, mental or psychosocia…

411-086-0140 Nursing Services: Problem Resolution and Preventive Care (1) Problem Resolution and Prevention: (a) Conditions to be Prevented. The licensee shall take all reasonable measures consistent with resident choice to resolve and to prevent undesirable conditions such as: (…

411-086-0150 Nursing Services: Restorative Care (1) Restorative Program. Nursing services staff shall provide a restorative program which re-establishes and maintains to the greatest extent practical the functional abilities of residents. Such functional abilities shall include b…

411-086-0160 Nursing Services: Discharge Summary (1) Discharge Summary Required. A discharge summary shall be completed for each resident before discharge. (2) Contents. The discharge summary shall include: (a) A recapitulation of the resident’s stay; (b) A final summary of the r…

411-086-0200 Physician Services (1) MEDICAL DIRECTOR. Each nursing facility shall have a physician medical director designated in writing. The medical director shall: (a) Serve on the Quality Assessment and Assurance Committee; (b) Assist the facility to assure that adequate medi…

411-086-0210 Dental Services (1) Consulting Dentist. The facility shall have an consulting dentist who shall: (a) Participate in the development of written policies and procedures for routine dental care, dental emergencies, and oral hygiene (OAR 411-085-0210); (b) Be available i…

411-086-0220 Rehabilitative Services (1) Rehabilitation Program. The facility shall provide rehabilitative services, when applicable, which re-establishes and maintains to the greatest extent practical the functional abilities of residents. The facility shall have written policie…

411-086-0230 Activity Services (1) Activity Program. The facility shall have an activity program available to all residents which encourages each resident to maintain normal activity and to return to self-care. The program shall address the intellectual, social, spiritual, creati…

411-086-0240 Social Services (1) Social Services Program. A social services program shall be provided which identifies, attains and maintains the highest practicable physical, mental and psychosocial well-being of each resident: (a) The program shall assist facility staff, family…

411-086-0250 Dietary Services (1) DIETARY SERVICES DEPARTMENT. The facility shall have a dietary services department which complies with the Food Sanitation Rules, OAR chapter 333, division 150. (a) Admittance to the kitchen shall be restricted to those who must enter to perform …

411-086-0260 Pharmaceutical Services (1) Consulting Pharmacist. Each facility shall have a consulting pharmacist who shall ensure compliance with ORS Chapter 689, facility policy (OAR 411-085-0210) and this rule. (2) Pharmaceutical Services Review. The Quality Assessment and Assu…

411-086-0300 Clinical Records (1) Clinical Records Department. The facility shall ensure the preparation, completeness, accuracy, preservation, and filing of a clinical record for each resident in accordance with facility policy (OAR 411-085-0210). This rule does not apply to non…

411-086-0310 Employee Orientation and In-Service Training (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 acco…

411-086-0320 Emergency and Disaster Planning 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…

411-086-0330 Infection Control and Universal Precautions (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 protectio…

411-086-0340 Pets (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., …

411-086-0350 Smoking (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. (2) A facility must provide a place of employmen…

411-086-0360 Resident Furnishings, Equipment (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 …

411-087-0005 Definitions 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 lig…

411-087-0010 New and Old Construction, Remodeling, Certificate of Need (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, conversio…

411-087-0020 Referenced Regulations 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 enforce…

411-087-0030 Waivers for Physical Environment Requirements (1) Request. Any request for a waiver of these building requirements (OAR 411, division 087) shall comply with OAR 411-085-0040 general waiver requirements, except as otherwise provided by this rule. (2) Duration. The Div…

411-087-0100 Physical Environment Generally (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 i…

411-087-0110 Administrative Area (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 intervie…

411-087-0120 Signs (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…

411-087-0130 Resident Care Unit 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 roo…

411-087-0140 Locked Units (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’ Sta…

411-087-0150 Nurses’ Station 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 fee…

411-087-0200 Dietary Services (1) Food Sanitation Rules. Construction, equipment, and installation shall comply with OAR 333, divisions 150. (2) Food Preparation Areas. The dietary services area shall include: (a) Space and equipment for preparing, cooking, and baking; (b) Ice ma…

411-087-0210 Therapy Services 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,…

411-087-0220 Pharmacy Services 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 includ…

411-087-0230 Laundry Services (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’…

411-087-0240 Personal Care Services Separate room or designated space and appropriate equipment shall be provided for hair care and grooming needs of residents. Statutory/Other Authority: ORS 410.070 & 441.055 Statutes/Other Implemented: ORS 441.055 & 441.615 History: SSD 22-1991…

411-087-0250 Day Care Services (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…

411-087-0300 Residents’ Dining, Activities and Living Areas (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 f…

411-087-0310 Toilet, Handwashing, and Bathing Areas (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) Gra…

411-087-0320 Soiled and Clean Utility Rooms (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 ea…

411-087-0330 Employee Rooms (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.…

411-087-0340 Storage Rooms (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, ai…

411-087-0350 Maintenance and Housekeeping (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 …

411-087-0360 Hallways, Corridors and Stairways (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 s…

411-087-0400 Doors and Windows (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…

411-087-0410 Floors, Ceilings and Walls (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 minim…

411-087-0420 Electrical Systems: General (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) Re…

411-087-0430 Electrical Systems: Lighting (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 ol…

411-087-0440 Electrical Systems: Alarm and Nurse Call Systems (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 (suc…

411-087-0450 Heating and Ventilating Systems (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 …