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US · guidance

CMS SOM App. A, Tag A-1152

§482.57(a) Standard: Organization and Staffing

activein force · 2026-07-22 – presentas-observed

The organization of the respiratory care services must be appropriate to the scope

and complexity of the services offered.

Interpretive Guidelines §482.57(a)

The hospital must provide the appropriate equipment and types and numbers of qualified

personnel necessary to furnish the services offered by the hospital in accordance with

acceptable standards of practice.

The scope of diagnostic and/or therapeutic respiratory services offered by the hospital

should be defined in writing, and approved by the Medical staff.

Survey Procedures §482.57(a)

• Review the hospital’s organizational chart to determine the relationship of

respiratory care services to other services provided by the hospital.

• Review the hospital policies and procedures to verify that the scope of the

diagnostic and/or therapeutic respiratory care services provided is defined in

writing.

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
5a69efc120419409ab51af00035993f88c036e3f693b9779e79ee18f35799aea
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