Cms Fire Door Inspection

This page provides basic information about medicare and or medicaid provider compliance with national fire protection association nfpa 101 life safety code lsc and nfpa 99 health care facilities code hcfc requirements and includes links to applicable laws regulations and compliance information.

Cms fire door inspection.

Within the national fire protection association s nfpa 2012 life safety code lsc which cms adopted last year there is a requirement that fire doors and smoke barrier doors be tested annually. Cms and nfpa 80 101 compliance inspection fire doors inspection. According to kaiser a typical 800 000 square foot hospital has approximately 1 000 fire doors. Florida fire prevention code the 2017 edition of florida nfpa 101 requires that fire doors are inspected no less than annually.

Officials with cms had taken the position that the new requirement applies to healthcare occupancies. Proper inspection and maintenance of fire doors is key to ensuring the reliability of life safety barriers. Under the new cms requirements the facility has to conduct a fairly intensive formal 11 point visual and operational test verifying that each door adheres to the nfpa 80 fire code. Our reports are formatted to the nfpa standards and are easy to understand and navigate.

Cms the joint commission dnv and hfap will. When cms adopted the nfpa 101 2012 life safety code this testing became a requirement. Full compliance with the annual fire door assembly inspection and testing in accordance with 2010 nfpa 80 is required by january 1 2018. Annual inspection and testing is required for fire doors and smoke door barrier assemblies per nfpa 80 2010 standard for fire doors and other opening.

Cms fire and smoke door annual testing requirements update memo. Image courtesy of ashe approximately one year after the implementation of centers for medicare medicaid services cms requirements for annual door inspections in health care facilities an interesting phenomenon has developed. Life safety code lsc deficiencies associated with the annual inspection and testing of fire doors should be cited under k211 means of egress general. Usa fire door inspection.

Annual inspection hce fire door inspections follow the nfpa 101 and nfpa 80 requirements for annual fire door inspections. That position however was met with pushback. The centers for medicare medicaid services cms and the joint commission agree that door inspections are important to the ongoing reliability of an organization s fire protection program. Nfpa 80 inspection testing and maintenance requirements for swinging fire doors 2016 on site training.

Nfpa can provide an expert instructor along with a customized training program at your facility for the 2012 editions of nfpa 101 and nfpa 99. Per the code 12 4 6 6 3 1 acceptance testing of window and fire door assemblies shall be performed by a.