A closed bed long term care facility shall be subject to the same requirements as all other long term care facilities, as defined by ORS § 442.015, except that it shall be exempt from the certificate of need process provided by ORS § 442.315. However, any closed bed long term care facility which initiates under this exemption any new institutional health services, as defined in ORS § 442.015, and which subsequently accepts patients who are not residents of the continuing care retirement community, shall become subject to certificate of need review for such new institutional health services at the time that nonresident patients begin to be admitted. [1989 c.693 § 10; 1991 c.67 § 20; 2009 c.201 § 8]