Life Safety Code - CMS Minimum Requirement
What is the minimum requirement to be compliant with the Centers for Medicare/Medicaid Services?
Compliance with the 2012 edition of NFPA 101 Life Safety Code is a minimum requirement per the Centers for Medicare/Medicaid Services. If an organization has structural or system protections over and above LSC requirements, it is assumed that their authority having jurisdiction made those requirements as evidence by approving construction plans and specifications, and by providing the organization with a certificate of occupancy. It is not within the purview of The Joint Commission to relax any additional requirements. That approval must come from the organization's AHJ. Therefore if additional LSC structural and system protections are installed, the organization is required to inspect and maintain those systems on-time in accordance with TJC standards. So if life safety floor plans identify protections above basic NFPA 101-2012 requirements, then organization would be required to maintain those protections.
Last updated on March 13, 2018
Manual: Behavioral Health
Chapter: Life Safety LS