US · guidance
CMS SOM App. U, Tag R224
§403.744 Condition of Participation: Life Safety From Fire
§403.744(a) General
An RNHCI must meet the following conditions:
Interpretive Guidelines: §403.744
The manner and degree of noncompliance identified in relation to the standard-level tags
for §403.744 may result in substantial noncompliance with this CoP, requiring citation at
the condition-level.
Survey Procedure: §403.744 (a)
The Physical Environment CoP standards at §403.742 are typically reviewed as part of
the health and safety survey. However, all surveyors should assess the RNHCI’s
compliance with the Physical Environment CoP during the course of their health and
safety or LSC survey. The Life Safety Code (LSC) survey is typically conducted
separately by surveyors trained to assess life safety from fire requirements at §403.744.
There are separate survey reports (i.e. Form CMS-2786-Fire Safety Survey Report, Form
CMS-2567-Statement of Deficiencies and Plan of Correction) completed by the LSC
surveyors who evaluate compliance with the LSC. Survey procedures for LSC
requirements are found in Appendix I.
History
Rev. 239; Issued: 04-24-26; Effective: 04-24-26; Implementation: 04-24-26
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
fec10d3f794a3c2dc28f6688173b4f5fcc5cb0435ca8f0294cde654bfa358114
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