US · guidance
CMS SOM App. U, Tag R206
§403.742(a) Standard: Buildings […The RNHCI must have the
following:]
(3) An effective pest control program.
Interpretive Guidelines: §403.742(a)(3)
RNCHIs by nature furnish nonmedical services, primarily through caring for the physical
needs of nonmedical patients. For example, caring for the physical needs may include
assistance with activities of daily living; assistance in moving, positioning, and
ambulation; nutritional needs; and comfort and support measures. In any healthcare
setting, sanitation is critical and pests (which may include but are not limited to
cockroaches, bedbugs, ants, spiders, mice and rodents) are known to carry different
bacteria and viruses, which could have the potential for harm to patients.
Therefore, RNCHIs must have a developed pest control program which is effective.
Survey Procedures:
• Look for signs of pests such as mice, roaches, rats, bedbugs, and flies.
• Is the area pest free?
• Ask facility leadership or building manager to describe their pest control
program; verify the program is in writing.
History
Rev. 239; Issued: 04-24-26; Effective: 04-24-26; Implementation: 04-24-26
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
a046ef34fc2d06835efb36a019d8ccd60d5092d7f3bcac351bb6385086027478
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