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      Documentation (Life Safety Code) CMS

      Q: We have a brand new free-standing patient tower addition to our hospital coming online and scheduled to open in 12 months. The contractors will be…

      Brad Keyes, CHSP | Jan 18, 2021
      Power Strips CMS

      Q: What are the requirements or standards for a remote power tap (RPT) preventive maintenance procedure?

      Brad Keyes, CHSP | Dec 4, 2020
      Business Occupancies Joint Commission Life Safety Code CMS

      Q: If I have a new freestanding business occupancy that is licensed, would CMS enforce the provisions of the 2012 Edition of NFPA 101 (Life Safety Code)?…

      Brad Keyes, CHSP | Nov 13, 2020
      Power Strips CMS

      Q: Our company provides nursing home services. Now that the 2012 LSC has been adopted, does the CMS Survey and Certification Letter 14 - 46 still apply?…

      Brad Keyes, CHSP | May 15, 2020
      COVID-19 Accreditation Waivers CMS

      As reported on this website last week, CMS issued a formal communication on April 29, 2020, that granted 1135 blanket waivers on Physical Environment…

      Brad Keyes, CHSP | May 12, 2020
      COVID-19 Accreditation Waivers CMS

      In a formal communication issued April 29, 2020, CMS granted 1135 blanket waivers on Physical Environment items for Inspection, Testing & Maintenance…

      Brad Keyes, CHSP | May 7, 2020
      Joint Commission Testing (Generators) Accreditation Fire Drills Testing (Fire Suppression Systems) Testing (Facilities Management) CMS Testing (Fire Detection Systems) Testing (Life Safety Code) Testing (Medical Gas) Inspection & Maintenance (Life Safety Code)

      Q: Has there been an update to the definition of time by TJC/CMS? I'm looking at quarterly fire drills right now, but any changes/clarification on the…

      Brad Keyes, CHSP | Apr 15, 2020
      Door Locks CMS Delayed Egress

      Q: I have a question about delayed egress locks in nursing homes. Can you have more than one door equipped with delayed egress locks in a path of egress?…

      Brad Keyes, CHSP | Apr 13, 2020
      COVID-19 Accreditation Waivers CMS

      During this period of COVID-19 crisis, many readers have written asking if they can discontinue conducting routine Life Safety tests and inspections in…

      Brad Keyes, CHSP | Apr 7, 2020
      Fire & Smoke Dampers CMS

      Q: A California Life Safety Code surveyor enforcing the 2012 edition of the LSC asked for a map of all of the smoke and fire dampers in the building…

      Brad Keyes, CHSP | Mar 30, 2020