US · guidance
CMS SOM App. H, Tag V402
§494.60 (a) Standard: Building
The building in which dialysis services are furnished must
be constructed and maintained to ensure the safety of the patients, the staff and the public.
Interpretive Guidance §494.60(a)
The dialysis facility building must be constructed in accordance with applicable State and local
building codes. The plumbing, electrical, and heating, ventilation, and air conditioning (HVAC)
systems must be appropriately constructed and effectively maintained.
All buildings and building systems must be maintained free from defects and/or hazards to
ensure safety and functionality. Integrity of all surfaces (e.g., countertops, floors, walls) must be
intact, clean, and free from damage. Intact surface integrity enables effective cleaning and limits
the potential for microbial growth on porous surfaces.
Systems to ensure patient safety should be in place, such as a method for patients to call for help
from the restrooms and exam rooms. Access to patient treatment areas, reprocessing areas,
water treatment systems, supply storage, and dialysis equipment should be restricted to
authorized personnel only. Access limitation does not preclude visits or tours by individual(s)
authorized and supervised by facility personnel.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
db202508a38529d1a8fdb66c437d6f64b7730123d148ba7e8c7e55b83f9127dc
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