1. (1) Any person proposing to make certain alterations or additions to an existing health care facility, long term care facility, assisted living facility, or residential care facility, or to construct new facilities must, before commencing such alteration, addition or new construction, submit these projects to the Oregon Health Authority (Authority), Public Health Division, Facilities Planning and Safety program, for plans approval or recommendations with respect to compliance with rules authorized by ORS 441.025, 443.420 and for compliance with National Fire Protection Association standards when the facility is also to be Medicare or Medicaid certified.

2. (2) Project plans and specifications must be submitted for review and approval to the Authority when the project conforms to one or more of the following criteria:

   1. (a) When a new structure or addition to an existing structure is proposed, regardless of cost;
   2. (b) When alterations to a building wing or service area, or a building system serving it, exceeds either 25 percent of equivalent replacement cost, $100,000 for a licensed health care facility project subject to review by the Authority, or $50,000 for a licensed long term care facility, assisted living facility, or residential care facility project subject to review by the Oregon Department of Human Services (ODHS);
   3. (c) When a clinically related health or ancillary service or a clinical support service is to be initiated or relocated within the facility; or when changes in the use of rooms or corridors within such areas will occur, regardless of cost;
   4. (d) When a licensed facility receives a built environment citation or fire and life safety citation issued by the Authority, ODHS, or Oregon State Fire Marshal;
   5. (e) When an existing building is to be converted for first time use as a licensed facility, when an existing licensed facility is seeking an endorsement of an existing license, or when an existing licensed facility is seeking to change its usage from one licensure classification to another having differing physical requirements;
   6. (f) When any residential care facility or assisted living facility completes work that meets the definition of 'remodel' under OAR 411-054-0005; or
   7. (g) When a licensed facility makes any modifications addressed within the Centers for Medicare and Medicaid Services regulation of the 2012 edition of the National Fire Protection Association (NFPA) 101 – Life Safety Code or the 2012 edition of the NFPA 99 – Health Care Facilities Code, regardless of cost.

Statutory/Other Authority

ORS 410.070, 441.060, 443.450, 443.860, 443.886 & 441.025

Statutes/Other Implemented

441.060, 443.450, 443.860, 443.886 & ORS 410.070

History

PH 7-2025, amend filed 03/01/2025, effective 03/01/2025
PH 79-2024, renumbered from 333-675-0000, filed 11/21/2024, effective 11/21/2024
PH 18-2019, amend filed 10/01/2019, effective 01/01/2020
PH 27-2017, amend filed 12/21/2017, effective 01/01/2018
PH 6-2004, f. & cert. ef. 3-11-04
HD 13-1994, f. & cert. ef. 4-22-94