42 CFR § 491.6 - Physical plant and environment.

---
identifier: "/us/cfr/t42/s491.6"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 491.6 - Physical plant and environment."
title_number: 42
title_name: "Public Health"
section_number: "491.6"
section_name: "Physical plant and environment."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "G"
subchapter_name: "STANDARDS AND CERTIFICATION"
part_number: "491"
part_name: "CERTIFICATION OF CERTAIN HEALTH FACILITIES"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 263a and 1302."
cfr_part: "491"
---


# 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.

[57 FR 24983, June 12, 1992, as amended at 81 FR 64041, Sept. 16, 2016]