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US · guidance

CMS SOM App. A, Tag A-0714

§482.41(b)(5) - The hospital must have written fire control plans that contain provisions for

activein force · 2026-07-22 – presentas-observed

prompt reporting of fires; extinguishing fires; protection of patients, personnel and guests;

evacuation; and cooperation with fire fighting authorities.

Survey Procedures §482.41(b)(5)

• Review the hospital’s written fire control plans to verify they contain the required

provisions of the LSC and State law.

• Verify that hospital staff reported all fires as required to State officials.

• Interview staff throughout the facility to verify their knowledge of their responsibilities

during a fire (this is usually done during the LSC survey, but health surveyors may also

verify staff knowledge).

History

Rev. 238; Issued: 03-20-26; Effective: 09-05-25; Implantation: 09-05-25

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
87d5ce1df0531eea847074e96be06fb671dc9b67f5f6fec1b0ac60e3a362923a
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