OAR 333-700-0131
Physical Environment Requirements

(1) A facility must continue to meet all applicable building and physical environment standards, including but not limited to structural, mechanical, electrical, plumbing, fire and life safety codes that were in effect at the time of licensure, or the standards that applied at the time of a major alteration or new construction as required by this rule. Each instance of non-compliance with a building or physical environment standard or code is a separate violation.
(2)(a) On and after January 1, 2020, any person proposing to construct a new facility, or proposing to make certain alterations or additions to an existing facility, must, before commencing new construction, alterations, or additions, comply with OAR chapter 333, division 675 and these rules.
(b) A facility may choose to comply with these revised standards on or after October 1, 2019.
(3) Only the portion of an existing facility that is being altered or renovated and any impacted ancillary areas required to ensure full functionality of the facility must meet the requirements in sections (4) through (6) of this rule.
(4) An applicant or a licensed facility must comply with Chapter 2.10 of the 2018, Facilities Guidelines Institute (FGI), Guidelines for Design and Construction of Outpatient Facilities, adopted by reference including all references to part, subpart, sections, subsections, paragraphs, subparagraphs and appendices except as specified in sections (5) and (6) of this rule. To the extent that other FGI chapters are referenced in Chapter 2.10, a facility must also comply with the referenced chapters. References in FGI to “and/or” mean “or.”
(5) The chapters, sections, subsections, paragraphs, subparagraphs or appendices of the 2018, FGI, Guidelines for Design and Construction of Outpatient Facilities specified in OAR 333-535-0015 (Physical Environment)(6)(a) through (d), (f), (g) and (j) are not adopted by reference and do not apply under this rule.
(6) The amendments made to the 2018, FGI, Guidelines for Design and Construction of Outpatient Facilities, as adopted and incorporated by reference, specified in OAR 333-535-0015 (Physical Environment) (7)(a) through (j), (v) through (y), (ee) through (hh), (jj) through (pp), and (vvv) through (vvvv) shall apply under this rule.
(7) The Authority may, upon written request, allow minor variations from these requirements (other than fire and life safety requirements) when conditions make certain changes to facilities impractical to accomplish, as long as the intent of the requirement is met and the care and safety of patients will not be jeopardized. An applicant or facility must obtain written approval of the Authority in accordance with OAR 333-700-0072 (Waivers), for any minor variation.
(8) In addition to the requirements specified in sections (4) through (6) of this rule, a renal dialysis facility to be certified for Medicare reimbursement shall also meet standards of the 2012, National Fire Protection Association (NFPA) #101 and #99 Codes, and the American Society of Heating, Refrigeration and Air-Conditioning Engineers (ASHRAE) Standard 170-2017, “Ventilation of Health Care Facilities,” adopted by reference.
(9) Minimum facility location and accessibility requirements are as follows:
(a) The facility shall be located to allow for prompt access by ambulances and buses, including wheelchair-lift equipped vehicles, without the need for patients to traverse across vehicular pathways or parking areas. If this requirement cannot be satisfied, the project sponsor shall propose an alternate plan showing that patient safety shall not be compromised; and
(b) The dialysis unit shall be located in a separate building or section of the facility that is free of traffic by non-related persons.
(10) Minimum structural, Fire & Life Safety Code and maintenance requirements are as follows:
(a) All dialysis treatment spaces shall provide one or more exits to the outside at grade level or by accessible ramps and not be located adjacent to an industrial high hazard occupancy as defined in the 2012, NFPA 101 Life Safety Code;
(b) If a facility is unable to meet the provisions of subsection (10)(a) of this rule, it shall be subject to compliance and review with the 2012, NFPA 101 Life Safety Code.

Source: Rule 333-700-0131 — Physical Environment Requirements, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-700-0131 (accessed May 26, 2025).

333–700–0000
Statement of Purpose 333–700–0004
Referenced Codes and Standards 333–700–0005
Definitions 333–700–0010
Application for Licensure 333–700–0015
Annual License Fee 333–700–0017
Application Review 333–700–0018
Approval of License Application 333–700–0019
Denial of License Application 333–700–0020
Expiration and Renewal of License 333–700–0025
Denial or Revocation of a License 333–700–0030
Discontinuance and Recommencement of Operation of Outpatient Renal Dialysis Facilities 333–700–0035
Return of Facility License 333–700–0040
Classification 333–700–0045
Hearings 333–700–0050
Adoption by Reference 333–700–0053
Complaints 333–700–0057
Investigations 333–700–0060
Surveys 333–700–0061
Violations 333–700–0062
Informal Enforcement 333–700–0063
Formal Enforcement 333–700–0064
Civil Penalties 333–700–0072
Waivers 333–700–0073
Outpatient Mobile Dialysis 333–700–0075
Administrative Authority and Management 333–700–0080
Quality Assessment and Performance Improvement 333–700–0085
Patient Care Plan 333–700–0090
Medical Records 333–700–0095
Medical Director of an Outpatient Renal Dialysis Facility 333–700–0100
Patient Care Staff 333–700–0105
Minimal Service Requirements for an Outpatient Renal Dialysis Facility 333–700–0110
Infection Control 333–700–0115
Patients’ Rights, Responsibilities and Family Education 333–700–0120
Facility Safety and Emergency Preparedness 333–700–0125
Reuse of Hemodialyzers and other Dialysis Supplies 333–700–0131
Physical Environment Requirements

May 26, 2025

Rule 333-700-0131's source at or​.us