CMS Survey & Certification Memos - What you need to know.

S&C: 17-38-LSC

Fire Door Assembly Inspections

In health care occupancies, fire door assemblies are required to be annually inspected and tested in accordance with the 2010 National Fire Protection Association (NFPA) 80. In health care occupancies, non-rated doors assemblies including corridor doors to patient care rooms and smoke barrier doors are not subject to the annual inspection and testing requirements of either NFPA 80 or NFPA 105 . Read S&C 17-38-LSC

S&C: 10-20-ASC

Ambulatory Surgery Center Waiting Area Requirements

This memorandum clarifies the Centers for Medicare & Medicaid Services’ (CMS) requirements for ASC waiting areas, including the prohibition on the sharing of waiting areas with other entities. It also discusses opportunities for existing ASCs that have waiting areas shared with other entities to obtain waivers as part of their Plan of Correction (POC) when violations have been cited, and when it is not feasible for the ASC to correct the deficiencies. S&C10-20-ASC

S&C: 16-29-LSC

Adoption of the 2012 edition of the National Fire Protection Association (NFPA) 101 - Life Safety Code (LSC) and 2012 edition of the NFPA 99 - Health Care Facilities Code (HCFC)

The Centers for Medicare & Medicaid Services (CMS) has adopted by regulation the 2012 LSC and the 2012 HCFC. The regulation effective date is July 5, 2016. CMS will begin surveying for compliance with the 2012 LSC and HCFC on November 1, 2016. Read S&C 16-29-LSC

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