US · guidance
CMS SOM App. J, Tag W121
§483.410(d)(4) If living quarters are not provided in a facility owned by the ICF/IID, the ICF/IID
remains directly responsible for the standards relating to physical environment that are
specified in §483.470(a) through (g), (j) and (k).
Guidance §483.410(d)(4)
Even though the facility's premises may be rented from a landlord, the facility must ensure that
the requirements for physical environment are met, either through arrangement with the
landlord or through the facility's own services.
(e) Standard: Licensure
§483.420(a) Standard: Protection of Clients’ Rights
The facility must ensure the rights of all clients. Therefore, the facility must
Guidelines §483.420(a)
“Ensure” means that the facility actively asserts the individual’s rights and does not wait for him
or her to claim a right. This obligation exists even when the individual is less than fully
competent and requires that the facility is actively engaged in activities which result in the pro-active assertion of the individual’s rights, e.g., guardianship, advocacy, training programs, use of
specially constituted committee, etc.
§483.410(e) Standard: Licensure
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
e164a44de7298c38cd0ed481a8d0cc25b6944974ea46218232506d8a45c76fd7
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