Facility Design Process

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Facilities Planning and Safety Public Health Division

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Facilities Planning and Safety

On this page:

Information about FPS

How the Plan Review Process Works Join Our Listserv FPS Adoption of 2018 FGI Workload Updates

Information for Project Designers

Codes and Guides Plan Review Fees Waivers

Who We Serve and the Rules that Govern Them

Ambulatory Surgery Centers Assisted Living Facilities Birthing Centers End-Stage Renal Disease Treatment Facilities Extended Stay Centers Hospitals Memory Care Communities Nursing Homes / Skilled Nursing Facilities Residential Care Facilities Special Inpatient Care Facilities

Information about FPS

How the Plan Review Process Works

Facilities Planning and Safety performs plan reviews to ensure compliance with the Oregon Administrative Rules physical requirements at both acute and long-term care facilities. In addition to plan reviews, Facilities Planning and Safety also conducts on-site inspections for rule compliance at the completion of each project.

Acute care facilities are regulated by the Oregon Health Authority Health Facility Licensing and Certification Program. Before the plan review, the healthcare provider must follow the letter of intent and application process of the Certificate of Need Program. After the plan review, facilities should contact the Health Facility Licensing & Certification Program for licensing of the acute care facility.

Assisted Living Facilities, Residential Care Facilities, and Memory Care Communities are regulated by the Department of Human Services Safety, Oversite and Quality Unit. Before the plan review, the healthcare provider must follow the market study process used by the Department of Human Services. After the plan review, facilities should contact the Safety, Oversight and Quality Unit for licensing of the long-term care facility.

Nursing Homes / Skilled Nursing Facilities are also regulated by the Department of Human Services Safety, Oversite and Quality Unit. Before the plan review, the healthcare provider must follow the letter of intent and application process of the Certificate of Need Program. After the plan review, facilities should contact the Safety, Oversight and Quality Unit for licensing of the long-term care facility.

Join Our Listserv

Join the FPS Listserv. The Facilities Planning and Safety Listserv sends announcements, information and critical program updates regarding new construction and remodel of health facilities within the jurisdiction of the Health Facility Licensing and Certification Program.

FPS Adoption of 2018 FGI

Facilities Planning and Safety (FPS) is adopting the 2018 Facilities Guidelines Institute (FGI) design standard generally effective January 1, 2020. As of the October 1, 2019 filing with the Oregon Secretary of State, facilities may choose to comply with these revised standards or utilize the existing built environment Oregon Administrative Rules (OARs) until the end of the 2019 calendar year. As noted below, FGI has already gone into effect for several facility types.

The 2018 edition of FGI is offered in a three-book series in addition to digital content hosted online. The three books are categorized and commonly titled: Hospital, Outpatient, and Residential Health. These categories reflect and respect the differing levels of care as they relate to the varying levels of patient acuity in each facility type. Further information can be found on the FGI website.

The adoption of FGI will impact the OARs the Oregon Health Authority uses to regulate acute care facilities including:

Ambulatory Surgery Centers (FGI effective January 7, 2019, additional updates effective January 1, 2020) Birthing Centers End-Stage Renal Disease Treatment Facilities Extended Stay Centers (FGI effective January 7, 2019, additional updates effective January 1, 2020) Hospitals (including psychiatric hospitals, hospital outpatient clinics, and hospital outpatient surgery) Special Inpatient Care Facilities (including rehabilitation hospitals, substance abuse treatment, religious nonmedical health care institutions, and freestanding hospice facilities) (FGI effective February 21, 2019)

The adoption of FGI will not impact the long-term care facilities regulated by DHS for which FPS performs built environment plan review and inspection services. The DHS long-term care facilities unaffected by FGI adoption include:

Assisted Living Facilities Memory Care Communities Nursing Homes / Skilled Nursing Facilities Residential Care Facilities

The adoption of FGI also will not affect the CMS regulatory enforcement of NFPA 101 Fire Life Safety Code.

Additional documents regarding FGI adoption:

OHA FGI Adoption Workgroup Process Explanation (pdf) Oregon Adoption of 2018 FGI Frequently Asked Questions (FAQ) (pdf) Slipsheets of Oregon amendments to 2018 FGI are linked in individual facility types

FPS Workload Updates

Facilities Planning and Safety sends weekly workload updates to the Listserv and also archives those updates on this page to increase program transparency and improve performance.

Projects listed on updates are reviewed according to submission date with consideration of the skill sets of current contractors and plans review staff. Our normal practice is, and continues to be, to review projects in the order in which they are received.

Updates from this Month

January 07, 2022

2021 Archived Workload Updates

January February March April May June July August September October November December

Information for Project Designers

Codes and Guides

Facilities Planning and Safety publishes Health Facility Plan Review Guidebook (pdf). The guidebook contains a detailed outline of the plan review process, fee schedule and site review process. This guidebook also describes facility licensing classifications and provides contact information for OHA and DHS licensing programs.

Review requirements originate in Oregon Revised Statute 441.060. Specific submission requirements for all projects are listed in Oregon Administrative Rule Chapter 333, Division 675.

In addition to the facility-specific codes listed below, acute and long-term care facilities are subject to:

The Oregon Structural Specialty Code from the State of Oregon Building Codes Division governs the construction, reconstruction, alteration and repair of buildings and other structures and the installation of mechanical devices or equipment in those structures, and requires correction of unsafe conditions caused by earthquakes in existing buildings to establish uniform performance standards to safeguard the health, safety, welfare, comfort and security of individuals who occupy or use those buildings and also encourages maximum energy conservation. The National Fire Protection (NFPA) 101 Life Safety Code (LSC) 2012 Edition which are a set of fire protection requirements designed to provide a reasonable degree of safety from fire. It covers construction, protection, and operational features designed to provide safety from fire, smoke, and panic. The Centers for Medicare & Medicaid Services adopted this code effective July 5, 2016 and will begin surveying for compliance based on this standard on November 1, 2016. Additional information about the implementation of the NFPA 101 LSC 2012 Edition (pdf) The NFPA 99 Health Care Facilities Code (HCFC) 2012 Edition which is a set of requirements to minimize the hazards of fire, explosion and electricity associated with health facilities, material, equipment and appliances including medical gas and vacuum systems. The Centers for Medicare & Medicaid Services adopted this code effective July 5, 2016 and will begin surveying for compliance based on this standard on November 1, 2016. Additional information about the implementation of the NFPA 99 HCFC 2012 Edition (pdf) The Policy & Memos to States and Regions from the Center for Medicare & Medicaid Services provide guidance, clarification and instructions regarding CMS regulations. Facility-specific operational regulations found on the acute-care Survey and Certification page and the long-term care g Safety, Oversight and Quality Unit page.

Plan Review Fees

Fee Schedule (pdf) PR-1 Form (pdf)

Waivers

If you would like to request an exception to an Oregon Administrative Rule requirement please complete and submit:

Acute Care Facility Waiver Request (pdf) Assisted Living Facility & Residential Care Facility Waiver Request (pdf) Nursing Home / Skilled Nursing Facility Waiver Request (pdf)

Who We Serve and the Rules that Govern Them

OHA Regulated Acute Care Facilities

AMBULATORY SURGICAL CENTERS (ASC)

Specialize in providing surgery, pain management, and some diagnostic services in an outpatient setting.

Rules Governing ASC Design and Construction

Oregon Administrative Rules Chapter 333

Division 76, Rule 0185

Oregon FGI Amendments Slipsheets

Outpatient Amendments Slipsheets (pdf)

OAR Tables Table 1 (OAR 333-076-0185) (pdf) Ventilation requirements for ASCs Table 2 (OAR 333-076-0185) (pdf) Filter efficiencies for ventilation systems in ASCs Table 3 (OAR 333-076-0185) (pdf) Station outlet/inlets for oxygen, vacuum and medical air systems in ASCs Table 4 (OAR 333-076-0185) (pdf) Receptacle requirements per area Table 5 (OAR 333-076-0185) (pdf) Location of nurse call devices

Information for ASCs Inspection Checklist (pdf) Rule Template (pdf)

Please Note: FPS is in the process of adopting the 2018 edition of FGI, with Oregon amendments. As of February 2019, ASC, ESC, and SICF built environment rules have adopted FGI. Once updated content is available for release, these resource documents will be replaced.

ASC operations are licensed and regulated by the Oregon Health Authority. For further information or to request a project license call (971) 673-0540 or email [email protected].

BIRTHING CENTERS (BC)

Non-hospital settings where childbirth is planned and occurs away from a private residence. These facilities must be licensed and approved by the State to provide care.

Rules Governing BC Design and Construction

Oregon Administrative Rules Chapter 333

Division 76

Information for BCs Inspection Checklist (pdf) Rule Template (pdf)

BC operations are licensed and regulated by the Oregon Health Authority. For further information or to request a project license call (971) 673-0540 or email [email protected].

END-STAGE RENAL DISEASE TREATMENT FACILITIES (ESRD) / OUTPATIENT RENAL DIALYSIS FACILITIES (ORDF)

Provide outpatient renal dialysis services using machines that act as artificial kidneys by removing waste from blood and removing excess fluids from the body when kidney failure or disease prevents the kidneys from doing so.

Rules Governing ESRD / ORDF Design and Construction

Oregon Administrative Rules Chapter 333

Division 700, Rule 120

Oregon FGI Amendments Slipsheets

Outpatient Amendments Slipsheets (pdf)

Information for ESRDs / ORDFs Inspection Checklist (pdf) Rule Template (pdf)

ESRD / ORDF operations are licensed and regulated by the Oregon Health Authority. For further information or to request a project license call (971) 673-0540 or email [email protected]

EXTENDED STAY CENTERS (ESC)

Provide post-surgical and post-diagnostic medical and nursing services to patients recovering from surgical procedures performed in an affiliated Ambulatory Surgical Center (ASC).

Rules Governing ESC / Design and Construction

Oregon Administrative Rules Chapter 333

Division 76, Rule 1050, and Division 675

Oregon FGI Amendments Slipsheets

Inpatient Amendments Slipsheets (pdf) Outpatient Amendments Slipsheets (pdf)

OAR Appendix Appendix 1 (OAR 333-076-1050) Physical Environment Requirements for Extended Stay Centers

Information for ESRDs / ORDFs Coming Soon!

Please Note: FPS is in the process of adopting the 2018 edition of FGI, with Oregon amendments. As of February 2019, ASC, ESC, and SICF built environment rules have adopted FGI. Once updated content is available for release, these resource documents will be replaced.

ESC operations are licensed and regulated by the Oregon Health Authority. For further information or to request a project license call (971) 673-0540 or email [email protected]

HOSPITALS

Provide medical and surgical treatment and nursing care for sick or injured people. Within this category are several types of hospitals (pdf).

Rules Governing Hospital Design and Construction

Oregon Administrative Rules Chapter 333

Division 535

Oregon FGI Amendments Slipsheets

Inpatient Amendments Slipsheets (pdf) Outpatient Amendments Slipsheets (pdf) Residential Care Amendments Slipsheets (pdf)

OAR Tables Table 1 (OAR 333-535-0270) (pdf) Sound transmission limitations in General Hospitals Table 2 (OAR 333-535-0300) (pdf) Ventilation requirements for Hospital areas affecting patient care Table 3 (OAR 333-535-0300) (pdf) Filter efficiencies for ventilation and air condition systems in General Hospitals Table 4 (OAR 333-535-0300) (pdf) Hot water use (design temperature) Table 5 (OAR 333-535-0300) (pdf) Station outlets for oxygen, vacuum and medical air systems Table 6 (OAR 333-535-0310) (pdf) Electrical requirements

Pre-2018 FGI Standards for Hospitals

Hospital operations are licensed and regulated by the Oregon Health Authority. For further information or to request a project license call (971) 673-0540 or email [email protected].

SPECIAL INPATIENT CARE FACILITIES (SICF)

Provide inpatient care in specialized settings such as rehabilitation centers, college infirmaries, chiropractic facilities, freestanding hospice facilities and others.

Rules Governing SICF Design and Construction

Oregon Administrative Rules Chapter 333

Division 71, Rule 0105

Oregon FGI Amendments Slipsheets

Inpatient Amendments Slipsheets (pdf) Residential Care Amendments Slipsheets (pdf)

Information for SICFs Inspection Checklist (pdf) Rule Template (pdf)

Please Note: FPS is in the process of adopting the 2018 edition of FGI, with Oregon amendments. As of February 2019, ASC, ESC, and SICF built environment rules have adopted FGI. Once updated content is available for release, these resource documents will be replaced. SICF operations are licensed and regulated by the Oregon Health Authority. For further information or to request a project license call (971) 673-0540 or email [email protected].

DHS Regulated Long-Term Care Facilities

ASSISTED LIVING FACILITIES (ALF)

Offer housing in private units or apartments to individuals who need assistance with daily living activities. Facilities provide personal care services, 24-hour supervision and assistance, health-related services and social activities.

Rules Governing ALF Design and Construction

Oregon Administrative Rules Chapter 411

Division 54, Rule 0300

Information for ALFs Inspection Checklist (pdf) Rule Template (pdf)

ALF operations are licensed and regulated by the Department of Human Services. For further information or to request a project license call (503) 373-2130 or email [email protected].

MEMORY CARE COMMUNITIES (MCC)

Assisted Living Facilities or Residential Care Facilities with an endorsement to offer short and long-term housing and nursing care to individuals with Alzheimer's disease, dementia and other types of memory problems. Residents may also have other chronic illnesses and disabilities.

Rules Governing MCC Design and Construction

Oregon Administrative Rules Chapter 411

Division 57, Rule 0170

OAR Tables Table 2 (OAR 411-057-0170) (pdf) Light Levels for Memory Care Communities

Information for MCCs Inspection Checklist - Assisted Living Facility Memory Care Community (pdf) Inspection Checklist - Residential Care Facility Memory Care Community (pdf)

Inspection Checklist - Memory Care Community (pdf) Rule Template - Memory Care Community (pdf)

MCC operations are licensed and regulated by the Department of Human Services. For further information or to request a project license call (503) 373-2130 or email [email protected].

NURSING HOMES (NH) / SKILLED NURSING FACILITIES (SNF)

Offer short and long-term housing and nursing care to individuals with chronic illnesses or disabilities.

Rules Governing NH / SNF Design and Construction

Oregon Administrative Rules Chapter 411

Division 87

OAR Tables Table 87-1 (pdf) Sound transmission limitations in nursing facilities Table 87-2 (pdf) Pressure relationships and ventilation in nursing facilities Table 87-3 (pdf) Filter efficiencies for central ventilation and air condition systems in nursing facilities Table 87-4 (pdf) Nursing facility lighting intensity

Information for NHs / SNFs Inspection Checklist (pdf) Rule Template (pdf)

NH / SNF operations are licensed and regulated by the Department of Human Services. For further information or to request a project license call (503) 373-2185 or email [email protected].

RESIDENTIAL CARE FACILITIES (RCF)

Offer housing in shared or private rooms to individuals who need assistance with daily living activities. Facilities provide personal care services, 24-hour supervision and assistance, health-related services and social activities.

Rules Governing RCF Design and Construction

Oregon Administrative Rules Chapter 411

Division 54, Rule 0200

Information for RCFs Inspection Checklist (pdf) Rule Template (pdf)

RCF operations are licensed and regulated by the Department of Human Services. For further information or to request a project license call (503) 373-2130 or email [email protected].

Please contact [email protected] if you would like additional information.

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