US · guidance
CMS SOM App. U, Tag R207
§403.742(a) Standard: Buildings […The RNHCI must have the
following:]
(4) A preventive maintenance program to maintain essential mechanical, electrical, and
fire protection equipment operating in an efficient and safe manner.
Interpretive Guidelines: §403.742(a)(4)
The RNCHI must have a preventative maintenance program that considers essential
mechanical, electrical, and fire prevention equipment condition, equipment function,
consequences of equipment failure, and the operational environment. Maintenance is
performed to optimize reliability, including ensuring that routine and preventive
maintenance and testing activities are performed as necessary, in accordance with
Federal and State laws, regulations, guidelines, and manufacturer’s recommendations,
and by establishing maintenance schedules and conducting ongoing maintenance
inspections to identify areas or equipment in need of repair.
RNHCIs may also want to consider incorporating this requirement into their required
Emergency Preparedness Program.
Survey Procedures:
• Verify the RNCHI has a preventive maintenance program.
• Does the RNCHI have a process for ensuring equipment is checked for quality,
expiration and follows manufacturer instructions?
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
45b31670958b9ddfa608237be582d7b1e7127048f1641fb02c0e4ed2142297d1
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