US · guidance
CMS SOM App. A, Tag A-0722
§482.41(d) Standard: Facilities
The hospital must maintain adequate facilities for its services.
Interpretive Guidelines §482.41(d)
Adequate facilities means the hospital has facilities that are:
• Designed and maintained in accordance with Federal, State and local laws, regulations
and guidelines; and
• Designed and maintained to reflect the scope and complexity of the services it offers in
accordance with accepted standards of practice.
Survey Procedures §482.41(d)
• Observe the facility layout and determine if the patient’s needs are met. Toilets, sinks,
specialized equipment, etc. should be accessible.
• Review the facility’s water supply and distribution system to ensure that the water quality
is acceptable for its intended use (drinking water, irrigation water, lab water, etc.).
Review the facility water quality monitoring and, as appropriate, treatment system.
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
6d0a8d366dac1f3ea9d0b0897c9a7b38057e4cbee865b9f7f2c90a307b2223e5
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