!
OHA COVID-19 Updates and Resources: Visit our COVID-19 site for the latest updates, testing sites and vaccine information, or find information for healthcare
partners.
Facilities Planning and Safety
Public Health Division
" ! Public Health Division ! Provider and Partner Resources ! Health Care Facilities and Providers ! Facilities Planning and Safety
&
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 ...
! OHA COVID-19 Updates and Resources Visit our COVID-19
1. !
OHA COVID-19 Updates and Resources: Visit our COVID-19
site for the latest updates, testing sites and vaccine information,
or find information for healthcare
partners.
Facilities Planning and Safety
Public Health Division
" ! Public Health Division ! Provider and Partner Resources !
Health Care Facilities and Providers ! Facilities Planning and
Safety
&
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
2. 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
3. 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.
4. 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
5. 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
6. 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
7. 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.
8. 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
9. 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
10. 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
11. 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
12. 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
13. 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)
14. 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
15. 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
16. 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
17. 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
18. 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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23. order to grade it. It is important to note that the purpose of this
project is not to be an expert at creating a facility using your
chosen program, but rather to ensure the concepts learned in
this course can be applied to the facility design principles.
Your use of the floor planning program is meant to enhance
your learning of the course and program concepts.
Week Two: Facility Selection and Research
Select a facility from below to use in your final project. You
will use this facility in Weeks 3 through 5. If you would like to
use a facility not listed here, please check with your instructor
for approval.
· Assisted living
· Birthing center
· Clinic
· Doctor’s office
· Hematology lab
· Hospital security layout
· Outpatient clinic
Research the facility.
Write a 260- to 350-word summary. Your summary should:
· Describe the facility you selected and its purpose in the health
care industry.
· Identify the populations who use the facility.
· Identify key characteristics of the facility.
· Explain why you have selected this type of facility.
Cite at least 2 peer-reviewed, scholarly, or similar references.
Submit your assignment.
Week Three: Facility Planning—Floor Plan, Part 1
The construction of evidence-based health care facilities
includes careful planning and layout as well as considerations
for the health of the population to be served. Evidence-based
health care facilities planning also needs input from a cross -
functional team of informed stakeholders and the integration of
best practices in modern design and regulatory requirements.
24. This week you will focus on your facility’s structure and the
areas contained within it. Next week you will add assets to your
facility.
Create a floorplanthat includes at least 3 to 5 distinct areas or
rooms. You will be responsible for adding environmental design
elements each week. Your final floor plan is due in Week 5.
Note: You are not expected to manually draw all elements of
your design. Using images, clipart, graphics, icons, symbols, or
any other visual tools in your design is acceptable.
Consider the following elements and add them to your facility
as appropriate:
· Facility structure
· Walls
· Doors
· Hallways
· Waiting areas
· Other related structural components
· Facility areas
· Customer service and amenities
· Reception desk, bathroom, shower, vending machine, etc.
· Patient consultation areas
· Clinical support areas
· Nurses station, charting areas, etc.
· Administrative offices
· Building support
· Laundry, generator facilities, housekeeping, etc.
· Diagnostic and treatment space equipment and location
· Mechanical equipment
· Space for laboratory equipment, radiology equipment, gases
like oxygen, and suctions
Write a 175- to 350-word response to the following questions:
· Describe the steps you took to complete the structure and
areas of your facility.
· What considerations did you make?
· Include references and research to support your
considerations.
25. · Describe any successes or challenges you faced this week
building your facility.
· Include a print screen of your facility below. Use the
instructions provided if you need help adding a print screen.
Include a print screen of your facility in the last page of the
paper.
Cite at least 1 peer-reviewed, scholarly, or similar reference.
Submit your assignment.
Week Four: Facility Planning—Floor Plan, Part 2
This week you will continue to build your final facility. The
legal team has asked you to provide them with considerations
regarding legal and regulatory requirements that may affect the
facility planning process.
Add the following to your facility:
· Assets and equipment:
· All assets and equipment that should be considered for use by
the patient, staff, and families
· Regulatory considerations:
· Color and noise elements
· Regulatory elements, such as Occupational Safety and Health
Administration (OSHA) and Americans with Disabilities Act
(ADA) guidelines
Write a 700- to 1,050-word paper. Your paper should:
· Analyze the impact of federal, state, and local legal and
regulatory requirements on your selected facility.
· Consider and discuss assets and equipment you will need to
add to your floor plan.
· Consider and discuss any modification you made to your floor
plan with respect to structure and area.
· Analyze accountability and liability implications for
individuals and organizations for your selected facility.
· Analyze legal versus ethical considerations for your selected
facility.
· Include a print screen of your facility below. Use the
instructions provided if you need help adding a print screen.
