US · guidance
CMS SOM App. A, Tag A-0700
§482.41 Condition of Participation: Physical Environment
The hospital must be constructed, arranged, and maintained to ensure the safety of the
patient, and to provide facilities for diagnosis and treatment and for special hospital
services appropriate to the needs of the community.
Interpretive Guidelines §482.41
This CoP applies to all locations of the hospital, all campuses, all satellites, all provider-based
activities, and all inpatient and outpatient locations.
The hospital’s Facility Maintenance and hospital departments or services responsible for the
hospital’s buildings and equipment (both facility equipment and patient care equipment) must be
incorporated into the hospital’s QAPI program and be in compliance with the QAPI
requirements.
Survey Procedures §482.41
The Physical Environment CoP standards are typically assessed as part of the health and safety
survey. Each surveyor should assess the hospital’s compliance with the Physical Environment
CoP during the course of the survey. The Life Safety Code (LSC) survey is typically conducted
separately by surveyors trained to assess LSC requirements. There is a separate survey form
(Form CMS-2786) used to evaluate compliance with the LSC.
History
Rev. 238; Issued: 03-20-26; Effective: 09-05-25; Implantation: 09-05-25
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
6bd8e4811bda02c969cc236da60221732b9198014e85f65d33ba6ce0e4698194
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