CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER G—STANDARDS AND CERTIFICATION (parts 482 to 498) > PART 491—CERTIFICATION OF CERTAIN HEALTH FACILITIES > SUBPART A—Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage (§491.1 to §491.11) > 491.6—Physical plant and environment.

491.6—Physical plant and environment.

(a) Construction. The clinic or center is constructed, arranged, and maintained to insure access to and safety of patients, and provides adequate space for the provision of direct services.
(b) Maintenance. The clinic or center has a preventive maintenance program to ensure that:
(1) All essential mechanical, electrical and patient-care equipment is maintained in safe operating condition;
(2) Drugs and biologicals are appropriately stored; and
(3) The premises are clean and orderly.
(c) Emergency procedures. The clinic or center assures the safety of patients in case of non-medical emergencies by:
(1) Training staff in handling emergencies;
(2) Placing exit signs in appropriate locations; and
(3) Taking other appropriate measures that are consistent with the particular conditions of the area in which the clinic or center is located.
[57 FR 24983, June 12, 1992]