1. (1) As used in this rule:

   1. (a) "Hazards" means potentially unsafe or dangerous conditions in or around the home health care setting, including but not limited to the presence of uncontrolled animals, persistent or periodic presence of individuals with history of aggressive behavior or substance use disorder, elevated rate of criminal activity, poor or unreliable cell phone coverage, and lack of timely law enforcement or emergency response capability.
   2. (b) "Home health care setting" means a place of temporary or permanent residence of an individual where hospice services are furnished to the individual.
   3. (c) "Safety check" means the process by which personnel can access, review, and apply safety-related information collected by the agency in accordance with this rule, and includes a mechanism for personnel to directly contact the agency to report safety concerns.

2. (2) Effective May 1, 2026, a special inpatient care facility (SICF) classified as a freestanding hospice facility shall establish, implement, and maintain a workforce violence prevention program that includes, but is not limited to, the following requirements:

   1. (a) Intake risk assessment. The freestanding hospice facility must collect information necessary to identify and assess health and safety-related risks and hazards in a home health care setting, including but not limited to:

      1. (A) Any act or threat of physical violence, harassment, intimidation, assault, homicide or any other threatening behavior where hospice services are provided to a patient;
      2. (B) Presence of pet(s) and if any, whether the pet(s) can be secured away from the area where care is provided, if requested by personnel;
      3. (C) Possible pest infestations, for example, rodents or insects; and
      4. (D) Whether the patient is willing to securely store any weapons that are present in the home health care setting before any visit from hospice personnel.
   2. (b) Hospital discharge coordination. When a patient is discharged from a hospital and referred to a freestanding hospice facility, the facility must develop and implement a plan to obtain any known patient history of violence within the last 12 months from the hospital as part of continuity of care.
   3. (c) Personnel notification. The freestanding hospice facility must have a protocol, and implement the protocol, to share all information collected under subsections (2)(a) and (b) of this rule with personnel assigned to provide hospice services to the patient.

   4. (d) Training. The freestanding hospice facility shall provide annual training on personnel safety. The training must be consistent with training for home health care workers endorsed by the National Institute for Occupational Safety and Health and the Occupational Safety and Health Administration and must include the following:

      1. (A) Recognizing hazards that are commonly found by personnel where hospice services are provided to a patient; and
      2. (B) How to manage hazards that are identified.
      3. (C) This training may be incorporated as part of the mandated requirements under ORS 654.414(4).
   5. (e) Quarterly safety assessments. A freestanding hospice facility must conduct quarterly safety assessments with personnel who have been assigned to provide hospice services. A safety assessment may consist of the same criteria required under ORS 654.414(2) and (3).
   6. (f) Patient identification. A freestanding hospice facility must provide personnel with information that may be used to verify the identity of a patient prior to an initial hospice visit.
   7. (g) Safety checks. A freestanding hospice facility must provide a mechanism by which personnel can perform safety checks, including but not limited to use of a mobile application to access relevant safety-related information identified under subsections (2)(a) and (b) of this rule, use of communication devices that allow personnel to transmit one-way or two-way messages, or regular check-ins.

   8. (h) Policy development. A freestanding hospice facility shall establish in writing and implement policy and procedures that allow personnel to:

      1. (A) Perform data entry and chart updates at a time and place outside the location where hospice services are provided; and
      2. (B) Be accompanied by an escort, including but not limited to another employee, when there are concerns about the safety or security of the setting where hospice services are provided to the patient.

Statutory/Other Authority

ORS 413.042, ORS 441.025 & ORS 443.860

Statutes/Other Implemented

ORS 441.025, ORS 443.860, ORS 442.015, ORS 443.190 & ORS 443.195

History

PH 16-2026, adopt filed 01/29/2026, effective 02/01/2026