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US · guidance

CMS SOM App. U, Tag R227

§403.744(a)(2) The RNHCI must have written fire control plans that contain

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

provisions for prompt reporting of fires; extinguishing fires; protection of patients,

staff, and the public; evacuation; and cooperation with fire fighting authorities.

Interpretive Guidelines: §403.744(a)(2)

The RNHCI must have written plans containing all elements of this standard. The RNHCI

is required to have a process which establishes cooperation with firefighting authorities.

Survey Procedures: §403.744 (a)(2)

• Review the written fire control plans to verify they contain the required provisions

for prompt reporting of fires; extinguishing fire; protection of patients, staff, and

the public; evacuation; and cooperation with fire authorities.

• Verify that staff have reported all fires as required to State and local 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. 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
c1746c9702532c6f13db40bb10d7c9448e40b17cf7cd1093f73ff99094b7c060
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