CMS to Survey for Compliance with 2012 Life Safety Code Starting November 1, 2016
New Standards Applicable to Hospice Inpatient Facilities
As reported previously, the Centers for Medicare & Medicaid Services (CMS) has amended the fire safety standards applicable to specific Medicare and Medicaid-participating facilities (including hospice inpatient facilities) by adopting the 2012 edition of the Life Safety Code-NFPA 101 (LSC), eliminating references to earlier editions of the Life Safety Code, and adopting the 2012 edition of the Health Care Facilities Code-NFPA 99 (HCFC) with some exceptions.
On June 20, 2016, the CMS Survey and Certification Group sent a Memorandum (S&C: 16-29-LSC) alerting all State Survey Agency Directors that these changes have been adopted and that CMS will begin surveying for compliance with the new LSC and HCFC requirements effective November 1, 2016. CMS will offer an online transitional training course for existing LSC surveyors to provide an update on the new requirements; this course will be available beginning September 2, 2016, on the CMS Surveyor Training Website. Additionally, CMS plans to update the ASPEN survey tracking program and CMS Fire Safety Forms (2786) prior to the November 1, 2016, survey start date. Additional surveyor training materials will also be updated to reflect the changes.
Surveyors will continue to use current process, tags and forms until November 1, 2016. In instances where the survey process identifies deficiencies that would be compliant under the 2012 LSC, a facility may verify compliance with the 2012 LSC as an acceptable plan of correction and the deficiency should not be cited.
Additional NAHC Report coverage of these changes is available hereand here.