OAR 333-071-0290
Surveys


(1) The Authority shall, in addition to any investigations conducted under OAR 333-071-0280 (Investigations), conduct at least one on-site licensing survey of each SICF every three years to determine compliance with SICF licensing laws and at such other times as the Authority deems necessary.
(2) In lieu of an on-site inspection required under section (1) of this rule, the Authority may accept:
(a) CMS certification by a federal agency or an approved accrediting organization; or
(b) A survey conducted within the previous three years by an accrediting organization approved by the Authority, if:
(A) The certification or accreditation is recognized by the Authority as addressing the standards and condition of participation requirements of the CMS and other standards set by the Authority. An SICF must provide the Authority with the letter from CMS indicating its deemed status;
(B) The SIFC notifies the Authority to participate in any exit interview conducted by the federal agency or accrediting body; and
(C) The SIFC provides copies of all documentation concerning the certification or accreditation requested by the Authority.
(3) An SICF shall permit Authority staff access to the facility during a survey.
(4) A survey may include but is not limited to:
(a) Interviews of patients, patient family members, SICF management and staff;
(b) On-site observations of patients, staff performance, and the physical environment of the SICF;
(c) Review of documents and records; and
(d) Patient audits.
(5) An SICF shall make all requested documents and records available to the surveyor for review and copying.
(6) Following a survey, Authority staff may conduct an exit conference with the SICF administrator or the administrator’s designee. During the exit conference Authority staff shall:
(a) Inform the SICF representative of the preliminary findings of the inspection; and
(b) Give the person a reasonable opportunity to submit additional facts or other information to the surveyor in response to those findings.
(7) Following a survey, Authority staff shall prepare and provide the SICF administrator or the administrator’s designee specific and timely written notice of the findings.
(8) If the findings result in a referral to another regulatory agency, Authority staff shall submit the applicable information to that referral agency for its review and determination of appropriate action.
(9) If no deficiencies are found during a survey, the Authority shall issue written findings to the SICF administrator indicating that fact.
(10) If deficiencies are found, the Authority shall take informal or formal enforcement action in compliance with OAR 333-071-0315 (Informal Enforcement) or 333-071-0320 (Formal Enforcement).
333–071–0200
Purpose and Applicability
333–071–0205
Definitions
333–071–0210
License Application and Fees
333–071–0215
Application Review
333–071–0220
Approval of License Application
333–071–0225
Fees for Complaint Investigations and Compliance Surveys
333–071–0230
Expiration and Renewal of License
333–071–0235
Denial of License Application
333–071–0240
Return of SICF License and SICF Closure
333–071–0245
Discontinuance and Recommencement of Operations
333–071–0250
Classification
333–071–0260
Waivers
333–071–0270
Complaints
333–071–0280
Investigations
333–071–0290
Surveys
333–071–0300
Nurse Staffing Audit and Complaint Investigation Procedures
333–071–0310
Violations
333–071–0315
Informal Enforcement
333–071–0320
Formal Enforcement
333–071–0330
Approval of Accrediting Organization
333–071–0340
Civil Penalties for Violations of Nurse Staffing Laws
333–071–0345
Civil Penalties for Violation of Smoking Prohibition
333–071–0350
Civil Penalties, Generally
333–071–0360
Governing Body Responsibility
333–071–0370
Health Care Practitioner Credentialing
333–071–0380
Administrator
333–071–0390
Medical Staff
333–071–0400
Organization Policies
333–071–0410
Patient Rights
333–071–0420
Personnel
333–071–0430
Medical Records
333–071–0440
Quality Assessment and Performance Improvement
333–071–0450
Infection Control
333–071–0470
Patient Admission and Treatment Orders
333–071–0480
Nursing Care Management
333–071–0485
Nursing Services
333–071–0490
Nurse Executive
333–071–0510
Dietary Services
333–071–0520
Laboratory Services
333–071–0530
Pharmacy Services
333–071–0535
Radiology Services
333–071–0550
Sanitary Precautions
333–071–0560
Safety and Emergency Preparedness
333–071–0570
Smoking Prohibition
333–071–0580
Physical Environment Requirements
Last Updated

Jun. 8, 2021

Rule 333-071-0290’s source at or​.us