to main content Smoke alarms - Physician/Staff Sleeping Rooms | Behavioral Health | Life Safety LS | The Joint Commission
Smoke alarms - Physician/Staff Sleeping Rooms

What is the requirement for smoke alarms in non-patient sleeping rooms?

Any examples are for illustrative purposes only.

While The Joint Commission does not survey for the requirements of Chapter 28/29 of the Life Safety Code pertaining to Hotels and Dormitories, within Health Care or Ambulatory Health Care occupancies, non-patient sleep rooms that are used by on-call staff fall under that description.  The principals contained in those chapters are used to accommodate a non-patient overnight stay condition. Therefore, the Joint Commission requires a single-station smoke alarm in all staff/physician sleeping rooms in accordance with NFPA 101 (2012 edition) Sections 28/ and 

The required single-station smoke alarm need not be a smoke detector that is interconnected to the fire alarm system. Per, alarms shall sound only within the individual area, and not activate the building fire alarm system unless otherwise required by the local AHJ. Remote annunciation is permitted.

Reference LS.02.01.34 EP10 
Manual: Behavioral Health
Chapter: Life Safety LS
First published date: April 11, 2016 This Standards FAQ was first published on this date.
This page was last updated on October 26, 2021
Was this response helpful?

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form

Get Extra Help with Books and E-books

Browse our gallery of books and e-books to find trusted prep and readiness resources, practical checklists and toolkits, and resources on specialized health care topics.

Stay Informed with Online Education

Online education is the most convenient and cost-effective way to educate your staff and minimize expenses without the need to leave your organization.

Reach Your Safety Goals with eProducts

Assessing and sustaining compliance with accreditation standards or CMS CoPs can be a challenge, but it doesn’t have to be. Rely on our proven software solutions developed by our team of industry experts.

Can't Find What You're Looking For?

If you do not find an answer to your question, please contact the Standards Interpretation Group (SIG).

Note: To provide adequate support to those organizations that are either accredited/certified or seeking accreditation/certification, we will only answer those questions submitted by those organizations seeking accreditation/certification or currently accredited/certified by the Joint Commission. The Joint Commission no longer answers questions submitted by students or vendors. Thank you for your understanding.