CMS SOM App. U, Tag R225

An RNHCI must meet the following conditions:

(1) Except as provided in this section-

(i) The RNHCI must meet the applicable provisions and must proceed in

accordance with the Life Safety Code (NFPA 101 and Tentative Interim

Amendments TIA 12–1, TIA 12–2, TIA 12–3, and TIA 12–4).

Interpretive Guidelines: §403.744(a)(1)(i)

Medicare and Medicaid participating RNHCI must comply with the 2012 edition of the

NFPA 101-LSC and Tentative Interim Amendments 12-1 through 12-4. The applicable

LSC Chapters will depend upon the type of health care services being provided by the

RNHCI.

Survey Procedures:

Compliance with the 2012 edition of the LSC is assessed by the designated State fire

authority trained in assessing LSC requirements. In accordance with responsibilities

detailed at SOM §2054.1, CMS must establish a procedure for the State fire authority to

notify them whether the facility is or is not in compliance with the requirement. If the

health and safety survey team observes fire hazards or possible deficiencies in life safety

from fire, they must notify the designated State fire authority and the CMS Location.

Survey procedures for LSC requirements are found in Appendix I.