Life Safety (LS) (Nursing Care Center / Nursing Care Center)
ILSM - grouping of PFI's for assessment
Modify | April 11, 2016
Does an ILSM assessment have to be accomplished for every Plan For Improvement?
There is no requirement for there to be a single Interim Life Safety Measures assessment applied to a single Plan for Improvement. An ILSM assessment can consider multiple PFIs by, for example, common location or common deficiency type. The ILSM assessment must identify the PFIs being assessed. If ILSM's are implemented, the validation documentation must demonstrate that the risks identified by the PFI's are being mitigated. In many cases, combining PFIs for a single ILSM assessment is the most appropriate method to create an effective risk mitigation strategy (ILSM) for a group of identified life safety code deficiencies (PFI's). Examples could include, grouping all deficiency types found within a smoke compartment, or grouping one deficiency type found on one floor. [LS.01.02.01]
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