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US · guidance

CMS SOM App. K, Tag I-502

§485.54(a) Standard: Licensure of Facility

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

If State or local law provides for licensing, the facility must be currently licensed or

approved as meeting the standards established for licensure.

The facility must meet all building, fire and safety codes where these are required for

licensure before a facility would be eligible for certification. Ascertain that all State and

local licenses, permits and approvals that govern the facility’s operation are current and

valid.

If the proper authorization(s) has not been granted, or has been temporarily revoked or

suspended, the facility should be found in noncompliance with this standard.

If a facility has been issued a provisional license, permit or approval, determine whether the

limitation(s) prevents the facility from complying with the conditions of participation.

Document the reason for this issuance including the limitation(s) imposed on the facility's

operation.

Facilities exempt from State licensure, must be approved by the State as meeting the

standards established for licensure. Examples of exempted facilities may include facilities

that operate on a Federal reservation under agreement with the Department of Health and

Human Services and facilities operated by a State, city or county health department.

__________________________________________________________________________

History

Rev. 16, Issued: 01-10-06; Effective/Implementation Date: 11-21-05

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
25787e98a7bae8ae1830ef67abd21af4500bc810f6b52793277fa9672502e707
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