US · guidance
CMS SOM App. A, Tag A-1151
§482.57 Condition of Participation: Respiratory Services
The hospital must meet the needs of the patients in accordance with acceptable
standards of practice. The following requirements apply if the hospital provides
respiratory care services.
Interpretive Guidelines §482.57
If a hospital provides care to patients who require respiratory care services, the hospital
must meet the needs of those patients, in accordance with acceptable standards of
practice. This is an optional hospital service. However, if a hospital provides any degree
of respiratory care to its patients, the hospital must comply with the requirements of this
Condition of Participation.
Acceptable standards of practice include compliance with applicable standards that are
set forth in Federal or State laws, regulations or guidelines, as well as standards and
recommendations promoted by nationally recognized professional organizations (e.g.,
American Medical Association, American Association for Respiratory Care, American
Thoracic Association, etc.).
The hospital’s respiratory services must be integrated into its hospital-wide QAPI
program.
Survey Procedures §482.57
• Determine if the hospital provides any degree of respiratory care services.
• Determine that the type and amount of respiratory care provided meets the needs
of the patients and is delivered in accordance with acceptable standards of
practice.
• Determine if the hospital’s respiratory services are integrated into its hospital-wide QAPI program.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
9c2ea9c29fa882b2dec0fec7acffeed9e138a83b53ac9878a3d029a1c539ed35
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