ORS 441.025: License issuance; rules; renewal; disclosure; transfer; posting.
Edition: 2025 EditionEffective: 2026-01-01Last verified: 2026-09-07
(1)(a) Upon receipt of a license fee and an application to operate a health care facility other than a long term care facility, the Oregon Health Authority shall review the application and conduct an in-person site inspection of the health care facility. The authority shall issue a license if it finds that the applicant and health care facility comply with ORS 441.015 to 441.119 and 441.993 and the rules of the authority provided that the authority does not receive within the time specified a certificate of noncompliance issued by the State Fire Marshal, deputy, or approved authority pursuant to ORS 479.215. (b) The authority shall, following payment of the fee, annually renew each license issued under this subsection unless: (A) The health care facility’s license has been suspended or revoked; or (B) The State Fire Marshal, a deputy or an approved authority has issued a certificate of noncompliance pursuant to ORS 479.215. (2)(a) Upon receipt of a license fee and an application to operate a long term care facility, the Department of Human Services shall review the application and conduct an in-person site inspection of the long term care facility, including an inspection of the kitchen and other areas where food is prepared for residents. The department shall issue a license if the department finds that the applicant and long term care facility comply with ORS 441.015 to 441.119 and 441.993 and the rules of the department provided that it does not receive within the time specified a certificate of noncompliance issued by the State Fire Marshal, deputy, or approved authority pursuant to ORS 479.215. (b) The department shall, following an in-person site inspection and payment of the fee, annually renew each license issued under this subsection unless: (A) The long term care facility’s license has been suspended or revoked; (B) The long term care facility is found not to be in substantial compliance, following the in-person site inspection, with ORS 441.015 to 441.119, 441.993 and 443.012 and the rules of the department; (C) The long term care facility has failed an inspection of the kitchen or other areas where food is prepared for residents that was conducted by the department in accordance with ORS 443.417, except as provided in ORS 443.417 (2); or (D) The State Fire Marshal, a deputy or an approved authority has issued a certificate of noncompliance pursuant to ORS 479.215. (3) Each license shall be issued only for the premises and persons or governmental units named in the application and shall not be transferable or assignable. (4) Licenses shall be posted in a conspicuous place on the licensed premises as prescribed by rule of the authority or the department. (5) No license shall be issued or renewed for any health care facility or health maintenance organization that is required to obtain a certificate of need under ORS 442.315 until a certificate of need has been granted. An ambulatory surgical center is not subject to the certificate of need requirements in ORS 442.315. (6) No license shall be issued or renewed for any skilled nursing facility or intermediate care facility, unless the applicant has included in the application the name and such other information as may be necessary to establish the identity and financial interests of any person who has incidents of ownership in the facility representing an interest of 10 percent or more thereof. If the person having such interest is a corporation, the name of any stockholder holding stock representing an interest in the facility of 10 percent or more shall also be included in the application. If the person having such interest is any other entity, the name of any member thereof having incidents of ownership representing an interest of 10 percent or more in the facility shall also be included in the application. (7) A license may be denied to any applicant for a license or renewal thereof or any stockholder of any such applicant who has incidents of ownership in the health care facility representing an interest of 10 percent or more thereof, or an interest of 10 percent or more of a lease agreement for the facility, if during the five years prior to the application the applicant or any stockholder of the applicant had an interest of 10 percent or more in the facility or of a lease for the facility and has divested that interest after receiving from the authority or the department written notice that the authority or the department intends to suspend or revoke the license or to decertify the facility from eligibility to receive payments for services provided under this section. (8) The Department of Human Services may not issue or renew a license for a long term care facility, unless the applicant has included in the application the identity of any person who has incident of ownership in the long term care facility who also has a financial interest in any pharmacy, as defined in ORS 689.005. (9) The authority shall adopt rules for each type of health care facility, except long term care facilities, to carry out the purposes of ORS 441.015 to 441.119 and 441.993 including, but not limited to: (a) Establishing classifications and descriptions for the different types of health care facilities that are licensed under ORS 441.015 to 441.119 and 441.993; and (b) Standards for patient care and safety, adequate professional staff organizations, training of staff for whom no other state regulation exists, suitable delineation of professional privileges and adequate staff analyses of clinical records. (10) The department shall adopt rules for each type of long term care facility to carry out the purposes of ORS 441.015 to 441.119 and 441.993 including, but not limited to: (a) Establishing classifications and descriptions for the different types of long term care facilities that are licensed under ORS 441.015 to 441.119 and 441.993; (b) Standards for patient care and safety, adequate professional staff organizations, training of staff for whom no other state regulation exists, suitable delineation of professional privileges and adequate staff analyses of clinical records; and (c) Rules to ensure that a long term care facility complies with ORS 443.012. (11) The authority or department may not adopt a rule requiring a health care facility to serve a specific food as long as the necessary nutritional food elements are present in the food that is served. (12) A health care facility licensed by the authority or department may not: (a) Offer or provide services beyond the scope of the license classification assigned by the authority or department; or (b) Assume a descriptive title or represent itself under a descriptive title other than the classification assigned by the authority or department. (13) A health care facility must reapply for licensure to change the classification assigned or the type of license issued by the authority or department. [Amended by 1957 c.697 §2; 1961 c.316 §6; 1967 c.89 §3; 1971 c.730 §7; 1973 c.38 §1; 1973 c.840 §7; 1977 c.261 §3; 1977 c.751 §21; 1979 c.336 §1; 1983 c.740 §156; 1985 c.747 §20; 1987 c.428 §5; 1989 c.1034 §4; 2001 c.900 §163; 2009 c.595 §722; 2009 c.792 §56; 2011 c.35 §1; 2018 c.50 §12; 2019 c.592 §4; 2021 c.338 §1]
Administrative rules citing this section
- OAR 333-003-1055: Declared Emergency: Waiver of Rules Applicable to Acute Care Health Care Facilities, Outpatient Renal Dialysis, Hospice, Home Heath, Emergency Medical Services, and Hemodialysis Due to Federal 1135 Waivers — implements
- OAR 333-003-1055: Declared Emergency: Waiver of Rules Applicable to Acute Care Health Care Facilities, Outpatient Renal Dialysis, Hospice, Home Heath, Emergency Medical Services, and Hemodialysis Due to Federal 1135 Waivers — authority
- OAR 333-019-1011: Masking Requirements to Control COVID-19 in Health Care Settings — authority
- OAR 333-071-0200: Purpose and Applicability — implements
- OAR 333-071-0200: Purpose and Applicability — authority
- OAR 333-071-0205: Definitions — implements
- OAR 333-071-0205: Definitions — authority
- OAR 333-071-0210: License Application and Fees — authority
- OAR 333-071-0215: Application Review — authority
- OAR 333-071-0220: Approval of License Application — authority
- OAR 333-071-0230: Expiration and Renewal of License — implements
- OAR 333-071-0230: Expiration and Renewal of License — authority
- OAR 333-071-0235: Denial of License Application — authority
- OAR 333-071-0240: Return of SICF License and SICF Closure — implements
- OAR 333-071-0240: Return of SICF License and SICF Closure — authority
- OAR 333-071-0245: Discontinuance and Recommencement of Operations — implements
- OAR 333-071-0245: Discontinuance and Recommencement of Operations — authority
- OAR 333-071-0250: Classification — implements
- OAR 333-071-0250: Classification — authority
- OAR 333-071-0260: Waivers — implements
- OAR 333-071-0260: Waivers — authority
- OAR 333-071-0270: Complaints — authority
- OAR 333-071-0280: Investigations — authority
- OAR 333-071-0290: Surveys — implements
- OAR 333-071-0290: Surveys — authority
- OAR 333-071-0300: Nurse Staffing Audit and Complaint Investigation Procedures — authority
- OAR 333-071-0310: Violations — authority
- OAR 333-071-0315: Informal Enforcement — authority
- OAR 333-071-0320: Formal Enforcement — authority
- OAR 333-071-0350: Civil Penalties, Generally — authority
- OAR 333-071-0360: Governing Body Responsibility — authority
- OAR 333-071-0370: Health Care Practitioner Credentialing — implements
- OAR 333-071-0370: Health Care Practitioner Credentialing — authority
- OAR 333-071-0380: Administrator — implements
- OAR 333-071-0380: Administrator — authority
- OAR 333-071-0390: Medical Staff — implements
- OAR 333-071-0390: Medical Staff — authority
- OAR 333-071-0400: Organization Policies — implements
- OAR 333-071-0400: Organization Policies — authority
- OAR 333-071-0410: Patient Rights — implements
- OAR 333-071-0410: Patient Rights — authority
- OAR 333-071-0420: Personnel — implements
- OAR 333-071-0420: Personnel — authority
- OAR 333-071-0423: Personnel Safety Program Requirements — implements
- OAR 333-071-0423: Personnel Safety Program Requirements — authority
- OAR 333-071-0425: Potential Threat or Disruptive Behavior Flagging Systems — implements
- OAR 333-071-0425: Potential Threat or Disruptive Behavior Flagging Systems — authority
- OAR 333-071-0430: Medical Records — implements
- OAR 333-071-0430: Medical Records — authority
- OAR 333-071-0440: Quality Assessment and Performance Improvement — implements
- OAR 333-071-0440: Quality Assessment and Performance Improvement — authority
- OAR 333-071-0450: Infection Control — implements
- OAR 333-071-0450: Infection Control — authority
- OAR 333-071-0470: Patient Admission and Treatment Orders — implements
- OAR 333-071-0470: Patient Admission and Treatment Orders — authority
- OAR 333-071-0480: Nursing Care Management — implements
- OAR 333-071-0480: Nursing Care Management — authority
- OAR 333-071-0485: Nursing Services — implements
- OAR 333-071-0485: Nursing Services — authority
- OAR 333-071-0490: Nurse Executive — implements
- OAR 333-071-0490: Nurse Executive — authority
- OAR 333-071-0510: Dietary Services — implements
- OAR 333-071-0510: Dietary Services — authority
- OAR 333-071-0520: Laboratory Services — implements
- OAR 333-071-0520: Laboratory Services — authority
- OAR 333-071-0530: Pharmacy Services — implements
- OAR 333-071-0530: Pharmacy Services — authority
- OAR 333-071-0535: Radiology Services — implements
- OAR 333-071-0535: Radiology Services — authority
- OAR 333-071-0550: Sanitary Precautions — implements
- OAR 333-071-0550: Sanitary Precautions — authority
- OAR 333-071-0560: Safety and Emergency Preparedness — implements
- OAR 333-071-0560: Safety and Emergency Preparedness — authority
- OAR 333-076-0001: Applicability; Referenced Codes and Standards — implements
- OAR 333-076-0001: Applicability; Referenced Codes and Standards — authority
- OAR 333-076-0095: Purpose — implements
- OAR 333-076-0095: Purpose — authority
- OAR 333-076-0101: Definitions — authority
- OAR 333-076-0102: Application for ASC License and Fees — authority
- OAR 333-076-0103: ASC Application Review — authority
- OAR 333-076-0104: Approval of ASC License Application — authority
- OAR 333-076-0107: Denial of ASC License Application — implements
- OAR 333-076-0107: Denial of ASC License Application — authority
- OAR 333-076-0108: Expiration and Renewal of ASC License — authority
- OAR 333-076-0110: Return of ASC License and ASC Closure — implements
- OAR 333-076-0110: Return of ASC License and ASC Closure — authority
- OAR 333-076-0111: ASC Classification — implements
- OAR 333-076-0111: ASC Classification — authority
- OAR 333-076-0114: ASC Complaints — implements
- OAR 333-076-0114: ASC Complaints — authority
- OAR 333-076-0116: ASC Investigations — implements
- OAR 333-076-0116: ASC Investigations — authority
- OAR 333-076-0117: ASC Surveys — implements
- OAR 333-076-0117: ASC Surveys — authority
- OAR 333-076-0119: ASC Governing Body Responsibility — implements
- OAR 333-076-0119: ASC Governing Body Responsibility — authority
- OAR 333-076-0120: ASC Medical Staff — authority
- OAR 333-076-0125: ASC Personnel — implements
- OAR 333-076-0125: ASC Personnel — authority
- OAR 333-076-0130: ASC Policies and Procedures — implements
- OAR 333-076-0130: ASC Policies and Procedures — authority
- OAR 333-076-0135: ASC Nursing Services — implements
- OAR 333-076-0135: ASC Nursing Services — authority
- OAR 333-076-0137: ASC Surgery Services — implements
- OAR 333-076-0137: ASC Surgery Services — authority
- OAR 333-076-0140: ASC Anesthesia Services (If Provided) — implements
- OAR 333-076-0140: ASC Anesthesia Services (If Provided) — authority
- OAR 333-076-0145: ASC Storage, Disposal and Dispensing of Drugs — implements
- OAR 333-076-0145: ASC Storage, Disposal and Dispensing of Drugs — authority
- OAR 333-076-0150: ASC Emergency Services — implements
- OAR 333-076-0150: ASC Emergency Services — authority
- OAR 333-076-0155: ASC Laboratory Services — implements
- OAR 333-076-0155: ASC Laboratory Services — authority
- OAR 333-076-0160: Care of ASC Patients — implements
- OAR 333-076-0160: Care of ASC Patients — authority
- OAR 333-076-0165: ASC Medical Records — implements
- OAR 333-076-0165: ASC Medical Records — authority
- OAR 333-076-0170: ASC Quality Assessment and Performance Improvement — implements
- OAR 333-076-0170: ASC Quality Assessment and Performance Improvement — authority
- OAR 333-076-0175: ASC Infection Control — implements
- OAR 333-076-0175: ASC Infection Control — authority
- OAR 333-076-0180: In-service Training for ASC Nurses — implements
- OAR 333-076-0180: In-service Training for ASC Nurses — authority
- OAR 333-076-0185: ASC Physical Environment — implements
- OAR 333-076-0185: ASC Physical Environment — authority
- OAR 333-076-0190: ASC Emergency Preparedness — implements
- OAR 333-076-0190: ASC Emergency Preparedness — authority
- OAR 333-076-0246: Waivers — implements
- OAR 333-076-0246: Waivers — authority
- OAR 333-076-0250: ASC Violations — authority
- OAR 333-076-0255: ASC Informal Enforcement — authority
- OAR 333-076-0260: ASC Formal Enforcement — authority
- OAR 333-076-0265: Civil Penalties, Generally — authority
- OAR 333-076-0270: Approval of ASC Accrediting Organizations — authority
- OAR 333-076-0800: Extended Stay Center (ESC) Applicability — authority
- OAR 333-076-0805: Application for ESC License and Fees — authority
- OAR 333-076-0810: ESC Application Review — authority
- OAR 333-076-0820: Approval of ESC License Application — authority
- OAR 333-076-0830: Denial of ESC License Application — implements
- OAR 333-076-0830: Denial of ESC License Application — authority
- OAR 333-076-0840: Expiration and Renewal of ESC License — authority
- OAR 333-076-0850: Return of ESC License and ESC Closure — implements
- OAR 333-076-0850: Return of ESC License and ESC Closure — authority
- OAR 333-076-0860: ESC Surveys — implements
- OAR 333-076-0860: ESC Surveys — authority
- OAR 333-076-0870: ESC Complaints — implements
- OAR 333-076-0870: ESC Complaints — authority
- OAR 333-076-0880: ESC Investigations — implements
- OAR 333-076-0880: ESC Investigations — authority
- OAR 333-076-0900: ESC Governing Body — implements
- OAR 333-076-0900: ESC Governing Body — authority
- OAR 333-076-0910: ESC Medical Staff — authority
- OAR 333-076-0920: ESC Personnel — implements
- OAR 333-076-0920: ESC Personnel — authority
- OAR 333-076-0930: ESC Policies and Procedures — implements
- OAR 333-076-0930: ESC Policies and Procedures — authority
- OAR 333-076-0940: ESC Admission Criteria, Patient Care and Discharge — implements
- OAR 333-076-0940: ESC Admission Criteria, Patient Care and Discharge — authority
- OAR 333-076-0950: ESC Patient Transfer — implements
- OAR 333-076-0950: ESC Patient Transfer — authority
- OAR 333-076-0960: ESC Nursing Services — implements
- OAR 333-076-0960: ESC Nursing Services — authority
- OAR 333-076-0970: ESC Pharmacy Services — implements
- OAR 333-076-0970: ESC Pharmacy Services — authority
- OAR 333-076-0980: ESC Laboratory Services — implements
- OAR 333-076-0980: ESC Laboratory Services — authority
- OAR 333-076-0990: ESC Radiologic Services — implements
- OAR 333-076-0990: ESC Radiologic Services — authority
- OAR 333-076-1000: ESC Dietary Services — implements
- OAR 333-076-1000: ESC Dietary Services — authority
- OAR 333-076-1010: ESC Medical Records — implements
- OAR 333-076-1010: ESC Medical Records — authority
- OAR 333-076-1020: ESC Quality Assessment and Performance Improvement — implements
- OAR 333-076-1020: ESC Quality Assessment and Performance Improvement — authority
- OAR 333-076-1030: ESC Infection Control — authority
- OAR 333-076-1040: ESC Data Collection and Reporting — implements
- OAR 333-076-1040: ESC Data Collection and Reporting — authority
- OAR 333-076-1050: Extended Stay Center (ESC) Physical Environment — implements
- OAR 333-076-1050: Extended Stay Center (ESC) Physical Environment — authority
- OAR 333-076-1065: ESC Waivers — implements
- OAR 333-076-1065: ESC Waivers — authority
- OAR 333-076-1070: ESC Violations — authority
- OAR 333-076-1080: ESC Informal Enforcement — authority
- OAR 333-076-1090: ESC Formal Enforcement — authority
- OAR 333-076-1100: ESC Civil Penalties — authority
- OAR 333-077-0000: Applicability — implements
- OAR 333-077-0000: Applicability — authority
- OAR 333-077-0010: Definitions — implements
- OAR 333-077-0010: Definitions — authority
- OAR 333-077-0015: License Application and Fees — implements
- OAR 333-077-0015: License Application and Fees — authority
- OAR 333-077-0020: Application Review — implements
- OAR 333-077-0020: Application Review — authority
- OAR 333-077-0025: Approval of License Application — implements
- OAR 333-077-0025: Approval of License Application — authority
- OAR 333-077-0030: Denial of a License Application — implements
- OAR 333-077-0030: Denial of a License Application — authority
- OAR 333-077-0035: Expiration and Renewal of License — implements
- OAR 333-077-0035: Expiration and Renewal of License — authority
- OAR 333-077-0040: Denial, Suspension, or Revocation of License — implements
This rule cites
- ORS 441.015 — resolved
- 441.119 — resolved
- 441.993 — resolved
- ORS 479.215 — resolved
- 443.012 — resolved
- ORS 443.417 — resolved
- ORS 442.315 — resolved
- ORS 689.005 — resolved
- ORS 443.012 — resolved
Cited by
- ORS 413.273: Palliative care for patients and residents of hospitals, long term care facilities and residential care facilities.
- ORS 435.254: Hospital duty to provide information about emergency contraception and to make emergency contraception available to victim of sexual assault; informational materials; rules.
- ORS 441.015: Licensing of facilities and health maintenance organizations; compliance with rules and standards.
- ORS 441.020: Application; fees; rules.
- ORS 441.022: Factors to be considered in licensing.
- ORS 441.030: Denial, suspension or revocation of licenses; restrictions on admission; penalties.
- ORS 441.034: Expedited licensing process; fees; rules.
- ORS 441.044: Complaints about standard of care in facility; retaliation prohibited; rules.
- ORS 441.060: Inspections; approval of plans and specifications; rules; fees.
- ORS 441.062: Coordination of inspections; rules.
- ORS 441.068: Hospital policies and procedures for dispensing HIV post-exposure prophylaxis drugs or therapies.
- ORS 442.342: Waiver of requirements; rules; penalties.
- ORS 442.615: Financial assistance; screening for eligibility; processing; appeals; collections; rules.
- ORS 443.431: Conversion facilities; fee; rules.
- ORS 677.010: Definitions for chapter.
- ORS 677.812: Surgery on ankle; limitations.
- ORS 678.780: Grounds for discipline of nursing home administrator.
- ORS 690.025: Exemptions; rules.
- OAR 333-500-0032: Classification
- OAR 333-501-0020: Violations
- OAR 333-675-0110: Project Submission and Review
- OAR 817-100-0100: Licensed Health Care Facility
- OAR 847-080-0001: Definitions
Official source: https://www.oregonlegislature.gov/bills_laws/ors/ors441.html