US · guidance
CMS SOM App. H, Tag V401
§494.60 - The dialysis facility must be designed, constructed, equipped, and maintained to
provide dialysis patients, staff, and the public a safe, functional, and comfortable treatment
environment.
Interpretive Guidance §494.60:
Safe environment means that there are no obstacles that would present risks for trips and falls,
such as loose floor tiles; no areas that would pose infection control risks, such as broken work
Page 170 of 420
surfaces; and no outside doors that remain propped open, allowing entry of unauthorized
individuals, insects, or animals, or creating a hazard in the event of fire.
Functional environment means that all systems in the building, such as lighting, heating, and air
conditioning, are operational.
A comfortable environment includes providing sufficient space for patient privacy and access to
necessary equipment, while also maintaining a reasonable noise level. For example, this may
involve requiring the use of earphones when televisions or other entertainment devices are in
use, as they can disturb others. Monitoring a comfortable temperature is addressed at V405.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
7ff1660063cc3e6199783915955c5cc894c2da1eb5058019bf94a43ad4070302
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