CMS SOM App. E, Tag I-123

The organization provides a functional, sanitary, and comfortable environment for

patients, personnel, and the public.

(1) Provision is made for adequate and comfortable lighting levels in all areas;

limitation of sounds at comfort levels; a comfortable room temperature; and

adequate ventilation through windows, mechanical means, or a combination

of both.

(2) Toilet rooms, toilet stalls, and lavatories are accessible and constructed so as

to allow use by non-ambulatory and semi-ambulatory individuals.

(3) Whatever the size of the building, there is an adequate amount of space for

the services provided and disabilities treated, including reception area, staff

space, examining room, treatment areas, and storage.

Interpretive Guidelines §485.723(c)

A – General

In order to make the organization’s environment comfortable, sanitary, and functional for

patients, personnel, and the public, the following provisions should be considered:

lighting, sounds, temperature, ventilation, toilet facilities, and space for the organization

to comfortably function. Ramps must be available to provide for easy access to facilities.

Examination and treatment areas must be large enough to enable effective application of

the plan of care. Where underwater exercise is utilized, a safe and effective patient lift

device is available.

Verify that temperature control mechanisms maintain the temperature at a comfortable

and constant level. Verify that at least one restroom/toilet facility is handicap accessible.

Observe all areas within the organization. Is the space adequate for storage, treatment,

etc.?

B – Major Sources of Information

• Policies and procedures for housekeeping and facility operations;

• Interviews with patients and staff; and

• Surveyor observations.