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Keyes Life Safety

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Business OccupanciesJoint CommissionLife Safety CodeAccreditation/CertificationCMS

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)? I wasn't able …

Brad Keyes, CHSP | Nov 13, 2020
Inspection & Maintenance (Life Safety Code)Joint CommissionTesting (Generators)Testing (Facilities Management)Testing (Fire Suppression Systems)Testing (Life Safety Code)AccreditationTesting (Fire Detection Systems)CMSTesting (Medical Gas)Testing (Accreditation/Certification)Fire Drills

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 definition for all intervals …

Brad Keyes, CHSP | Apr 15, 2020
Joint CommissionLife Safety Drawings

Q: The hospital where I work is leased, and the landlord is not a healthcare architect and pushes back on everything. My need is to have the life safety plan …

Brad Keyes, CHSP | Aug 9, 2019
Joint CommissionFGI GuidelinesHand Washing Sink

Q: We have a relatively new Infection Control team. They are performing rounds and having mock surveys with a nurse-consultant that cites issues from the 2014 FGI in areas that …

Brad Keyes, CHSP | Jul 12, 2019
Joint CommissionPortable Space Heaters

Q: Could you please clear up a concern related to section 19.7.8 of the 2012 Life Safety Code, that addresses Portable Space-Heating Devices? Section 19.7.8 (1) states such devices are …

Brad Keyes, CHSP | Apr 22, 2019
Joint CommissionGFCI ReceptaclesElectrical ReceptacleAccreditation

Q: We had our Joint Commission inspection today and they cited us for water coolers and ice machines not being plugged into GFCI (ground-fault circuit interrupter) receptacles. One of our …

Brad Keyes, CHSP | Mar 26, 2019
Joint CommissionArticle

Q: We are expecting Joint Commission at our hospital soon. Since they will no longer look at the PFI lists, is it advisable to keep our current open PFIs open …

Brad Keyes, CHSP | Jul 25, 2018
Joint CommissionArticle

A lot has been said and written concerning the changes that Joint Commission has made in regards to their Life Safety chapter for acute-care hospitals, and for good reason. CMS …

Brad Keyes, CHSP | Jan 23, 2018
Q&AJoint CommissionFire Drills

Q: There is a matrix floating around on the web that describes Joint Commission’s compliance for fire drills. It breaks the quarters down as Q1=January, February, March, and Q2=April, May, …

Brad Keyes, CHSP | Mar 29, 2017
Q&AJoint CommissionCMS

Q: Can you provide some clarification? The NFPA 101 2012 edition was adopted July 5th is that correct? Joint Commission and CMS will not be reviewing using this current edition …

Brad Keyes, CHSP | Aug 31, 2016
Joint CommissionLife Safety CodeArticleCMS

On July 13, 2016, The Joint Commission issued the following statement: “Effective Aug. 1, 2016, changes will become effective to the Statement of Conditions™ (SOC) process that will affect the …

Brad Keyes, CHSP | Aug 4, 2016
Q&AJoint Commission

Q: Hello Brad, I hear the SOC as of 8/4/2016 will no longer be used. If time is needed to do a repair for a life safety item we need …

Brad Keyes, CHSP | Jul 23, 2016
Joint CommissionArticleAccreditationCMS

I received the following comment from a reader: During a recent CMS life safety survey a surveyor stated that my kitchen hood suppression testing intervals were out of compliant even …

Brad Keyes, CHSP | Mar 2, 2016
Q&AJoint CommissionTesting (Accreditation/Certification)

Q: What strategies are other hospitals using in scheduling their quarterly fire systems inspections heading into 2014? We are a 3 million sq. ft. campus and our vendor is not …

Brad Keyes, CHSP | Oct 23, 2015
Q&AJoint CommissionClarification

Q: We recently had a survey which resulted in multiple Life Safety findings. We want to clarify away some of these findings, and were told we can only clarify the …

Brad Keyes, CHSP | Sep 4, 2015
Joint CommissionSurvey FindingsConstructionArticle

It has always been my belief that as the surveyor team walks in the front door of the hospital on the first day of the survey, all of the contractors …

Brad Keyes, CHSP | Dec 18, 2014
Joint CommissionArticle

I received an email from a client who was confused about the changes to the Joint Commission Plan for Improvement (PFI) list found in the Statement of Conditions (SOC). He …

Brad Keyes, CHSP | Dec 11, 2014
Joint CommissionArticleCMS

I suspect most of you didn't give this much thought, but ever since 2009, The Joint Commission has had to apply to CMS for their deeming authority to survey hospitals …

Brad Keyes, CHSP | Jul 1, 2014
Joint CommissionLife Safety CodeEquivalenciesArticleCMS

As a result of the June 4, 2014 online announcement by The Joint Commission which identified major changes for the Statement of Condition Plan for Improvement (PFI) list, they also …

Brad Keyes, CHSP | Jun 6, 2014
Joint CommissionLife Safety CodeArticleCMS

Since yesterday, I have received a lot of emails and calls concerning the Joint Commission announcement on changes to their PFI list. On Wednesday, June 4, 2014, Joint Commission published …

Brad Keyes, CHSP | Jun 6, 2014
Joint CommissionLife Safety CodeArticleCMS

Yesterday, Joint Commission published an online notice of changes to their survey decision reports effective July 1, 2014, that effectively eliminates the strategic advantage of healthcare organizations self-reporting Life Safety …

Brad Keyes, CHSP | Jun 5, 2014
Joint CommissionMedical GasArticle

Did you notice the January 29, 2012 issue of the Joint Commission Online? Among other articles, they had an article called "Clarification of storage requirements for freestanding medical gas cylinders" …

Brad Keyes, CHSP | Mar 20, 2014
Joint CommissionArticleFire/Smoke DampersSmoke Dampers

There seems to be much discussion lately on how to manage the Joint Commission Statement of Conditions Plans For Improvement (PFI) on inaccessible dampers. Joint Commission has instructed healthcare organizations …

Brad Keyes, CHSP | Dec 27, 2013
Joint CommissionLife Safety CodeArticleCMS

What process should be used to take advantage of the recent CMS correspondence that deals with allowing mobile equipment, such as patient lifts and gurneys in the corridors? To refresh your memory, CMS S&C …

Brad Keyes, CHSP | Dec 27, 2012

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