ORS 441.736
License conditions


(1)

As used in this section:

(a)

“Immediate jeopardy” means a situation in which the failure of a residential care facility or a long term care facility to comply with a rule of the Department of Human Services has caused or is likely to cause serious injury, serious harm, serious impairment or death to a resident.

(b)

“License condition” includes but is not limited to:

(A)

Restricting the total number of residents;

(B)

Restricting the number and impairment level of residents based upon the capacity of the licensee and staff to meet the health and safety needs of all residents;

(C)

Requiring additional staff or staff qualifications;

(D)

Requiring additional training for staff;

(E)

Requiring additional documentation; or

(F)

Restriction of admissions.

(c)

“Substantial compliance” means a level of compliance with state law and with rules of the department such that any identified deficiencies pose a risk of no more than negligible harm to the health or safety of residents of a residential care facility or a long term care facility.

(2)

Intentionally left blank —Ed.

(a)

The department may impose a condition on the license of a residential care facility or long term care facility in response to a substantiated finding of rule violation, including but not limited to a substantiated finding of abuse, and shall impose a condition on the license in response to a finding of immediate jeopardy, whether or not the finding of immediate jeopardy is substantiated at the time the license condition is imposed.

(b)

The department shall impose a license condition in a scope and manner that is specifically designed to remediate the finding that led to the license condition.

(c)

If the department imposes a license condition in response to a finding of immediate jeopardy to residents of the facility, and the finding of immediate jeopardy to residents of the facility is not substantiated within 30 days after the imposition of the license condition, the department shall immediately remove the license condition.

(d)

Intentionally left blank —Ed.

(A)

Except as provided in subparagraph (B) of this paragraph, the department shall provide a facility with a notice of impending imposition of license condition at least 48 hours before issuing an order imposing a license condition. The notice must:
(i)
Describe the acts or omissions of the facility and the circumstances that led to the substantiated finding of rule violation or finding of immediate jeopardy supporting the imposition of the license condition;
(ii)
Describe why the acts or omissions and the circumstances create a situation for which the imposition of a license condition is warranted;
(iii)
Provide a brief statement identifying the nature of the license condition;
(iv)
Provide a brief statement describing how the license condition is designed to remediate the circumstances that led to the license condition; and
(v)
Provide a brief statement of the requirements for withdrawal of the license condition.

(B)

If the threat to residents of a facility is so imminent that the department determines it is not safe or practical to give the facility advance notice, the department must provide the notice required under this paragraph within 48 hours of issuing an order imposing the license condition.

(e)

An order imposing a license condition must include:

(A)

A specific description of how the scope and manner of the license condition is designed to remediate the findings that led to the license condition; and

(B)

A specific description of the requirements for withdrawal of the license condition.

(3)

The department may impose a license condition that includes a restriction on admissions to the facility only if the department makes a finding of immediate jeopardy that is likely to present an immediate jeopardy to future residents upon admission.

(4)

Intentionally left blank —Ed.

(a)

Following the imposition of a license condition on a facility, the department shall:

(A)

Within 15 business days of receipt of the facility’s written assertion of substantial compliance with the requirements set forth by the department for withdrawal of the license condition, reinspect or reevaluate the facility to determine whether the facility has achieved substantial compliance with the requirements;

(B)

Notify the facility by telephone or electronic means of the findings of the reinspection or reevaluation within five business days after completion of the reinspection or reevaluation; and

(C)

Issue a written report to the facility within 30 days after the reinspection or reevaluation notifying the facility of the department’s determinations regarding substantial compliance with the requirements necessary for withdrawal of the license condition.

(b)

If the department finds that the facility has achieved substantial compliance regarding the violation for which the license condition was imposed, and finds that systems are in place to ensure similar deficiencies do not reoccur, the department shall withdraw the license condition.

(c)

If after reinspection or reevaluation the department determines that the violation for which the license condition was imposed continues to exist, the department may not withdraw the license condition, and the department is not obligated to reinspect or reevaluate the facility again for 45 days after the first reinspection or reevaluation. The department shall provide the decision not to withdraw the license condition to the facility in writing and inform the facility of the right to a contested case hearing pursuant to ORS chapter 183. Nothing in this paragraph limits the department’s authority to visit or inspect the facility at any time.

(d)

If the department does not meet the requirements of this subsection, a license condition is automatically removed on the date the department failed to meet the requirements of this subsection, unless the Director of Human Services extends the applicable period for no more than 15 business days. The director may not delegate the power to make a determination regarding an extension under this paragraph. [2017 c.679 §5; 2021 c.392 §4]
Note: See note under 441.705 (Definitions for ORS 441.705 to 441.745).

Source: Section 441.736 — License conditions, https://www.­oregonlegislature.­gov/bills_laws/ors/ors441.­html.

441.015
Licensing of facilities and health maintenance organizations
441.020
Application
441.021
Additional fees for investigation and compliance activities
441.022
Factors to be considered in licensing
441.025
License issuance
441.026
Licensing of extended stay centers
441.030
Denial, suspension or revocation of licenses
441.037
Hearings
441.038
Additional remedies
441.044
Complaints about standard of care in facility
441.046
Facility prohibited from interfering with employee’s disclosure of abuse, violations of laws or threats to health and safety of resident
441.047
Requirement to provide resident with information about Long Term Care Ombudsman services
441.048
Discrimination based on execution of POLST, advance directive or similar instruction prohibited
441.049
Support persons for patients with disabilities
441.051
Discharge of patient to care of lay caregiver
441.053
Release of patient presenting with behavioral health crisis
441.054
Discharge of patients receiving mental health treatment
441.055
Health care facility medical staff and bylaws
441.056
Credentialing telemedicine providers
441.059
Access to previous X-rays and reports by patients of chiropractic physicians
441.060
Inspections
441.061
Delegation of health inspections to local public health authorities
441.062
Coordination of inspections
441.063
Use of facilities by licensed podiatric physicians and surgeons
441.064
Use of facilities by nurse practitioners and physician assistants
441.065
Exemption of certain religious institutions
441.067
Inspection reports, complaint procedures and rules
441.073
Rules regarding staff ratio in long term care facilities
441.077
Revocation of license and other penalties for imposing restrictions upon certain physicians
441.078
Disability discrimination prohibited in provision or insurance coverage of organ transplantation
441.079
Eye, organ and tissue transplants
441.082
Registration of organ procurement organization, tissue bank and eye bank
441.083
Drug information to be provided patients of long term and intermediate care facilities
441.084
Choice of patient on suppliers of drugs and supplies
441.086
Ambulatory surgical centers
441.087
General inspection of long term care facility
441.089
Application of Health Care Quality Improvement Act of 1986
441.094
Denial of emergency medical services because of inability to pay prohibited
441.096
Identification badges
441.098
Health practitioner referral of patient to treatment or diagnostic testing facility
441.099
Health Licensing Office to ensure compliance with ORS 441.098
441.101
Safeguards for protected health information
441.151
“Hospital” defined for ORS 441.152 to 441.177
441.152
Nurse Staffing Advisory Board
441.154
Hospital nurse staffing committee
441.155
Written staffing plan for nursing services
441.156
Annual review of nurse staffing plan
441.157
Audits
441.164
Variances to staffing plan requirements
441.165
Modification of nurse staffing plan in case of emergency or epidemic
441.166
Need for replacement staff
441.168
Leaving a patient care assignment
441.169
Public notice
441.171
Complaint investigations
441.173
Hospital to maintain records
441.175
Civil penalties
441.177
Posting of audit reports and civil penalties
441.179
Definitions for ORS 441.179 to 441.186
441.181
Retaliation prohibited
441.183
Remedies for retaliation
441.184
Unlawful employment practices
441.185
Hospital posting of notice
441.186
Rights, privileges or remedies of nursing staff
441.192
Notice of employment outside of hospital
441.221
Advisory Committee on Physician Credentialing Information
441.222
Committee recommendations
441.223
Implementation of committee recommendations
441.277
Definitions for ORS 441.277 to 441.323
441.281
Petition for appointment of trustee
441.286
Grounds for appointment of trustee
441.289
Powers and duties of trustee
441.293
Liability to trustee for goods and services after notice
441.296
Liability for rent or contracts
441.301
Payment of expenses when income inadequate
441.303
Establishment of Facility Fund
441.306
Compensation of trustee
441.309
Trustee as public employee
441.312
License renewal of facility placed in trust
441.316
Termination of trust
441.318
Trustee accounting
441.323
Effect of trust or temporary management on prior obligations or civil or criminal liabilities
441.331
Definition of “facility” for ORS 441.331 to 441.341
441.333
Appointment of temporary manager
441.336
Accounting by temporary manager
441.338
Temporary manager as agent of state agency
441.341
Rules
441.357
Definitions for ORS 441.357 to 441.367
441.362
Notice by Department of Human Services prior to move or termination
441.367
Facility required to give notice of base rate and policy on nonpayment
441.373
Admission to or removal from long term care facility, residential care facility or adult foster home of person convicted of sex crime
441.402
Definitions for ORS 441.402 to 441.419
441.403
Office of Long Term Care Ombudsman
441.404
Funding of office
441.406
Duties of ombudsman
441.407
Procedures to maintain confidentiality
441.408
Right of entry into facilities and access to records
441.409
Report after investigation
441.411
Notice of complaint procedures
441.412
Immunity of employees
441.413
Appointment of designees
441.414
Effect of ORS 441.402 to 441.419 on right to visitors
441.416
Residential Ombudsman and Public Guardianship Advisory Board
441.417
Duties
441.418
Appeal to Residential Ombudsman and Public Guardianship Advisory Board
441.419
Long Term Care Ombudsman Account
441.525
Definitions for ORS 441.525 to 441.595
441.530
Policy
441.532
Municipalities authorized to create authority
441.535
Procedure to create public authority
441.540
Board of directors
441.545
Authority may not levy taxes
441.550
General powers
441.555
Issuance of revenue obligations
441.560
Borrowing
441.565
Obligations of authority not obligations of municipality
441.570
Payment of principal and interest
441.575
Authorities may act jointly
441.580
Authority as public body
441.585
Disposition of excess earnings
441.590
Authority granted by ORS 441.525 to 441.595
441.595
Construction of ORS 441.525 to 441.595
441.600
Definitions for ORS 441.600 to 441.625
441.605
Legislative declaration of rights intended for residents
441.610
Nursing home patients’ bill of rights
441.612
Additional rights
441.615
Powers and responsibilities of department
441.620
Disclosure of business information required
441.624
Purpose
441.625
Retaliation against resident exercising rights prohibited
441.630
Definitions for ORS 441.630 to 441.680
441.635
Legislative finding
441.637
Rules
441.640
Report of suspected abuse of resident required
441.645
Oral report to area agency on aging, department or law enforcement agency
441.650
Investigation of abuse complaint
441.655
Immunity for reporter of abuse
441.659
Disclosure of protected health information to law enforcement
441.660
Photographing resident
441.665
Record of reports
441.671
Confidentiality of reports
441.674
Specified evidentiary privileges inapplicable
441.675
General evidentiary privileges inapplicable
441.676
Investigation of licensing violations
441.677
Letter of determination
441.678
Review of finding that nursing assistant responsible for abuse
441.679
Preemployment inquiries
441.680
Spiritual healing alone not considered abuse of resident
441.685
Monitors
441.690
Complainant may accompany investigator
441.695
Conduct of investigation
441.697
Prescribed drug supply for unscheduled therapeutic leave from long term care facility
441.700
Access to facilities by persons providing services
441.703
Complaint file
441.705
Definitions for ORS 441.705 to 441.745
441.710
Civil penalties
441.712
Notice of civil penalty
441.715
Criteria for civil penalties
441.720
Remittance or reduction of penalties
441.726
Progressive enforcement process
441.731
Civil penalties
441.736
License conditions
441.740
Judicial review
441.745
Penalties to Quality Care Fund
441.750
Suicide attempts by minors
441.755
Report form
441.815
Smoking of tobacco or use of inhalant delivery system in or near hospital prohibited
441.816
Influenza vaccines for patients 65 years of age or older
441.820
Procedure for termination of physician’s privilege to practice medicine at health care facility
441.825
Authority of hospital to require medical staff to provide professional liability insurance
441.990
Civil and criminal penalties
441.991
Civil penalty for violation of ORS 441.098
441.992
Civil penalty for violation of ORS 441.048 or 441.049
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