(b) The authority shall, following payment of the fee, annually renew each license issued under this subsection unless:
(A) The health care facility’s license has been suspended or revoked; or
(B) The State Fire Marshal, a deputy or an approved authority has issued a certificate of noncompliance pursuant to ORS 479.215.
(2)(a) Upon receipt of a license fee and an application to operate a long term care facility, the Department of Human Services shall review the application and conduct an in-person site inspection of the long term care facility, including an inspection of the kitchen and other areas where food is prepared for residents. The department shall issue a license if the department finds that the applicant and long term care facility comply with ORS 441.015 to 441.087 and the rules of the department provided that it does not receive within the time specified a certificate of noncompliance issued by the State Fire Marshal, deputy, or approved authority pursuant to ORS 479.215.
(b) The department shall, following an in-person site inspection and payment of the fee, annually renew each license issued under this subsection unless:
(A) The long term care facility’s license has been suspended or revoked;
(B) The long term care facility is found not to be in substantial compliance, following the in-person site inspection, with ORS 441.015 to 441.087 and 443.012 and the rules of the department;
(C) The long term care facility has failed an inspection of the kitchen or other areas where food is prepared for residents that was conducted by the department in accordance with ORS 443.417, except as provided in ORS 443.417 (2); or
(D) The State Fire Marshal, a deputy or an approved authority has issued a certificate of noncompliance pursuant to ORS 479.215.
(3) Each license shall be issued only for the premises and persons or governmental units named in the application and shall not be transferable or assignable.
(4) Licenses shall be posted in a conspicuous place on the licensed premises as prescribed by rule of the authority or the department.
(5) No license shall be issued or renewed for any health care facility or health maintenance organization that is required to obtain a certificate of need under ORS 442.315 until a certificate of need has been granted. An ambulatory surgical center is not subject to the certificate of need requirements in ORS 442.315.
(6) No license shall be issued or renewed for any skilled nursing facility or intermediate care facility, unless the applicant has included in the application the name and such other information as may be necessary to establish the identity and financial interests of any person who has incidents of ownership in the facility representing an interest of 10 percent or more thereof. If the person having such interest is a corporation, the name of any stockholder holding stock representing an interest in the facility of 10 percent or more shall also be included in the application. If the person having such interest is any other entity, the name of any member thereof having incidents of ownership representing an interest of 10 percent or more in the facility shall also be included in the application.
(7) A license may be denied to any applicant for a license or renewal thereof or any stockholder of any such applicant who has incidents of ownership in the health care facility representing an interest of 10 percent or more thereof, or an interest of 10 percent or more of a lease agreement for the facility, if during the five years prior to the application the applicant or any stockholder of the applicant had an interest of 10 percent or more in the facility or of a lease for the facility and has divested that interest after receiving from the authority or the department written notice that the authority or the department intends to suspend or revoke the license or to decertify the facility from eligibility to receive payments for services provided under this section.
(8) The Department of Human Services may not issue or renew a license for a long term care facility, unless the applicant has included in the application the identity of any person who has incident of ownership in the long term care facility who also has a financial interest in any pharmacy, as defined in ORS 689.005.
(9) The authority shall adopt rules for each type of health care facility, except long term care facilities, to carry out the purposes of ORS 441.015 to 441.087 including, but not limited to:
(a) Establishing classifications and descriptions for the different types of health care facilities that are licensed under ORS 441.015 to 441.087; and
(b) Standards for patient care and safety, adequate professional staff organizations, training of staff for whom no other state regulation exists, suitable delineation of professional privileges and adequate staff analyses of clinical records.
(10) The department shall adopt rules for each type of long term care facility to carry out the purposes of ORS 441.015 to 441.087 including, but not limited to:
(a) Establishing classifications and descriptions for the different types of long term care facilities that are licensed under ORS 441.015 to 441.087;
(b) Standards for patient care and safety, adequate professional staff organizations, training of staff for whom no other state regulation exists, suitable delineation of professional privileges and adequate staff analyses of clinical records; and
(c) Rules to ensure that a long term care facility complies with ORS 443.012.
(11) The authority or department may not adopt a rule requiring a health care facility to serve a specific food as long as the necessary nutritional food elements are present in the food that is served.
(12) A health care facility licensed by the authority or department may not:
(a) Offer or provide services beyond the scope of the license classification assigned by the authority or department; or
(b) Assume a descriptive title or represent itself under a descriptive title other than the classification assigned by the authority or department.
(13) A health care facility must reapply for licensure to change the classification assigned or the type of license issued by the authority or department. [Amended by 1957 c.697 §2; 1961 c.316 §6; 1967 c.89 §3; 1971 c.730 §7; 1973 c.38 §1; 1973 c.840 §7; 1977 c.261 §3; 1977 c.751 §21; 1979 c.336 §1; 1983 c.740 §156; 1985 c.747 §20; 1987 c.428 §5; 1989 c.1034 §4; 2001 c.900 §163; 2009 c.595 §722; 2009 c.792 §56; 2011 c.35 §1; 2018 c.50 §12; 2019 c.592 §4; 2021 c.338 §1]
Structure 2021 Oregon Revised Statutes
Chapter 441 - Health Care Facilities
Section 441.020 - Application; fees; rules.
Section 441.021 - Additional fees for investigation and compliance activities.
Section 441.025 - License issuance; rules; renewal; disclosure; transfer; posting.
Section 441.026 - Licensing of extended stay centers; rules.
Section 441.037 - Hearings; procedures; judicial review.
Section 441.038 - Additional remedies.
Section 441.044 - Complaints about standard of care in facility; retaliation prohibited; rules.
Section 441.049 - Support persons for patients with disabilities.
Section 441.051 - Discharge of patient to care of lay caregiver.
Section 441.053 - Release of patient presenting with behavioral health crisis.
Section 441.054 - Discharge of patients receiving mental health treatment.
Section 441.055 - Health care facility medical staff and bylaws; rules.
Section 441.056 - Credentialing telemedicine providers; rules.
Section 441.060 - Inspections; approval of plans and specifications; rules; fees.
Section 441.062 - Coordination of inspections; rules.
Section 441.065 - Exemption of certain religious institutions.
Section 441.067 - Inspection reports, complaint procedures and rules; posting.
Section 441.073 - Rules regarding staff ratio in long term care facilities; variances; posting.
Section 441.079 - Eye, organ and tissue transplants.
Section 441.084 - Choice of patient on suppliers of drugs and supplies.
Section 441.086 - Ambulatory surgical centers; rules.
Section 441.087 - General inspection of long term care facility.
Section 441.094 - Denial of emergency medical services because of inability to pay prohibited.
Section 441.096 - Identification badges.
Section 441.099 - Health Licensing Office to ensure compliance with ORS 441.098.
Section 441.101 - Safeguards for protected health information; rules.
Section 441.151 - "Hospital" defined for ORS 441.152 to 441.177.
Section 441.152 - Nurse Staffing Advisory Board.
Section 441.154 - Hospital nurse staffing committee.
Section 441.155 - Written staffing plan for nursing services.
Section 441.156 - Annual review of nurse staffing plan.
Section 441.164 - Variances to staffing plan requirements.
Section 441.165 - Modification of nurse staffing plan in case of emergency or epidemic.
Section 441.166 - Need for replacement staff.
Section 441.168 - Leaving a patient care assignment.
Section 441.169 - Public notice.
Section 441.171 - Complaint investigations.
Section 441.173 - Hospital to maintain records; rules.
Section 441.175 - Civil penalties; suspension or revocation of license; rules; records.
Section 441.177 - Posting of audit reports and civil penalties.
Section 441.179 - Definitions for ORS 441.179 to 441.186.
Section 441.181 - Retaliation prohibited.
Section 441.183 - Remedies for retaliation.
Section 441.184 - Unlawful employment practices; civil action for retaliation.
Section 441.185 - Hospital posting of notice.
Section 441.186 - Rights, privileges or remedies of nursing staff.
Section 441.192 - Notice of employment outside of hospital.
Section 441.221 - Advisory Committee on Physician Credentialing Information; membership; terms.
Section 441.222 - Committee recommendations.
Section 441.223 - Implementation of committee recommendations; rules.
Section 441.277 - Definitions for ORS 441.277 to 441.323.
Section 441.281 - Petition for appointment of trustee; hearing; order.
Section 441.286 - Grounds for appointment of trustee.
Section 441.289 - Powers and duties of trustee.
Section 441.293 - Liability to trustee for goods and services after notice; effect of nonpayment.
Section 441.296 - Liability for rent or contracts.
Section 441.309 - Trustee as public employee.
Section 441.316 - Termination of trust; extension; license revocation.
Section 441.318 - Trustee accounting; deficiencies; lien.
Section 441.331 - Definition of "facility" for ORS 441.331 to 441.341.
Section 441.333 - Appointment of temporary manager.
Section 441.336 - Accounting by temporary manager; deficiencies; lien.
Section 441.338 - Temporary manager as agent of state agency.
Section 441.357 - Definitions for ORS 441.357 to 441.367.
Section 441.402 - Definitions for ORS 441.402 to 441.419.
Section 441.406 - Duties of ombudsman; rules.
Section 441.407 - Procedures to maintain confidentiality.
Section 441.408 - Right of entry into facilities and access to records.
Section 441.409 - Report after investigation; referral to other agencies.
Section 441.411 - Notice of complaint procedures; posting.
Section 441.412 - Immunity of employees.
Section 441.413 - Appointment of designees; qualifications; duties.
Section 441.418 - Appeal to Residential Ombudsman and Public Guardianship Advisory Board.
Section 441.525 - Definitions for ORS 441.525 to 441.595.
Section 441.535 - Procedure to create public authority.
Section 441.540 - Board of directors; rules; conflict of interest; quorum; personnel.
Section 441.550 - General powers.
Section 441.555 - Issuance of revenue obligations; nature of obligation; refunding.
Section 441.595 - Construction of ORS 441.525 to 441.595.
Section 441.600 - Definitions for ORS 441.600 to 441.625.
Section 441.605 - Legislative declaration of rights intended for residents.
Section 441.610 - Nursing home patients’ bill of rights; rules.
Section 441.612 - Additional rights; rules.
Section 441.615 - Powers and responsibilities of department; rules.
Section 441.630 - Definitions for ORS 441.630 to 441.680.
Section 441.637 - Rules; submission of rules to advisory group.
Section 441.640 - Report of suspected abuse of resident required.
Section 441.645 - Oral report to area agency on aging, department or law enforcement agency.
Section 441.655 - Immunity for reporter of abuse.
Section 441.659 - Disclosure of protected health information to law enforcement.
Section 441.660 - Photographing resident; photograph as record.
Section 441.665 - Record of reports; classification of investigation report.
Section 441.671 - Confidentiality of reports; when available.
Section 441.674 - Specified evidentiary privileges inapplicable.
Section 441.676 - Investigation of licensing violations; powers of investigator.
Section 441.679 - Preemployment inquiries; when employment prohibited.
Section 441.685 - Monitors; designation; duties; peer review of facilities.
Section 441.695 - Conduct of investigation.
Section 441.700 - Access to facilities by persons providing services.
Section 441.703 - Complaint file; summary; availability on request.
Section 441.705 - Definitions for ORS 441.705 to 441.745.
Section 441.710 - Civil penalties; when imposed.
Section 441.712 - Notice of civil penalty.
Section 441.715 - Criteria for civil penalties; rules.
Section 441.720 - Remittance or reduction of penalties.
Section 441.726 - Progressive enforcement process.
Section 441.731 - Civil penalties.
Section 441.736 - License conditions.
Section 441.740 - Judicial review.
Section 441.745 - Penalties to Quality Care Fund.
Section 441.755 - Report form; contents.
Section 441.816 - Influenza vaccines for patients 65 years of age or older; rules.
Section 441.990 - Civil and criminal penalties.
Section 441.991 - Civil penalty for violation of ORS 441.098.
Section 441.992 - Civil penalty for violation of ORS 441.048 or 441.049.