CMS SOM App. H, Tag V418

participating in Medicare as of October 14, 2008 that require sprinkler systems are those

housed in multi-story buildings construction Types II(000), III(200), or V(000), as defined

in the Life Safety Code, section 21.1.6.1, which were constructed after January 1, 2008, and

those housed in high rise buildings over 75 feet in height, which were constructed after

January 1, 2008.

Interpretive Guidance §494.60(d)(2)

The 2012 LSC requires buildings with unprotected structural elements to have sprinkler systems.

Specifically, the 2012 LSC requires that buildings with the construction type of Type II (000),

Type III (200), and Type V (000) buildings and two or more stories to be protected throughout by

an approved, supervised automatic sprinkler system (2012 LSC section 21.1.6.1).

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Regulation exempts existing dialysis facilities that have been certified since October 14, 2008

from needing to install sprinkler systems if the facility is located in a building that was

constructed on or before January 1, 2008, and if State law permits (i.e., the facility has a valid

certificate of occupancy).

For the purposes of this part, “constructed” refers to facilities that had obtained approval for all

required building permits or had completed all of the plan reviews in jurisdictions that do not

require building permits.

Dialysis facilities that are newly constructed, or have undergone rehabilitation after January 1,

2008, must comply with the LSC provisions for sprinklered buildings.

If the dialysis facility is required to be sprinklered and is in a multiple occupancy building, the

entire building must be sprinklered throughout, as required under the LSC.