- Categorical Waiver: CMS has determined that the 2000 edition of the National Fire Protection Association (NFPA) 101® Life Safety Code (LSC) contains provisions on the use of power strips in health care facilities that may result in unreasonable hardship for providers or suppliers. Further, an adequate alternative level of protection may be achieved by compliance with the 2012 edition of the LSC, which has extended allowances on the use of power strips in patient care areas.
- CMS is permitting a categorical waiver to allow for the use of power strips in existing and new health care facility patient care areas, if the provider/supplier is in compliance with all applicable 2012 LSC power strip requirements and with all other 2000 LSC electrical system and equipment provisions.
- Resident rooms in long-term care or other residential care facilities that do not use line-operated electrical appliances for diagnostic, therapeutic, or monitoring purposes are not subject to the more restrictive NFPA 99 requirements regarding the use of power strips in patient care areas/rooms. Resident rooms using line-operated patient-care-related electrical equipment in the patient care vicinity must comply with the NFPA 99 power strip requirement and may elect to utilize this categorical waiver.
- Individual waiver applications are not required: Providers and suppliers are expected to have written documentation that they have elected to use the waiver. A provider or supplier must notify the LSC survey team at the entrance conference that it has elected the use the waiver permitted under this guidance and that it meets the applicable waiver requirements. The survey team will review the information and confirm the facility meets the conditions for the waiver.
Please see the complete memo here or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-46.html?DLPage=1&DLFilter=14-46&DLSort=3&DLSortDir=ascending.
There is a company by the name of AKE with dealers in some states bordering Missouri selling unlisted fire extinguishers to businesses. If you get calls or questions about these “STOP-FYRE” fire extinguishers, or find them during an inspection, explain to the facility that 1998 NFPA 10, paragraph 1-4.3 require fire extinguishers to have a UL listing, or listing from another recognized testing laboratory such as ANSI, indicating they have been tested, and meet or exceed the performance standards for fire extinguishers. The website is www.AKE.com.
Please view the quarterly report from the Section for Long-Term Care Regulation here: Most Frequently Cited Deficiencies Report Second Quarter 2014
The Section for Long-Term Care Regulation has published New Generations – Volume 12, Issue 2, Spring 2014.
A complimentary color copy will be distributed via regular mail to each licensed home in Missouri. The spring issue is now available on the Department’s website, along with an archive of previous issues. Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.
Please view the quarterly report from the Section for Long-Term Care Regulation here: Most Frequently Cited Deficiencies Report First Quarter 2014.
To view this complete announcement from CMS, please visit www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2014-Fact-sheets-items/2014-04-14.html.
The Centers for Medicare & Medicaid Services (CMS) has announced a proposed rule on the adoption of updated life safety code (LSC) that CMS would use in its ongoing work to ensure the health and safety of all patients, family, and staff in every provider and supplier setting. The updated code contains new provisions that are vital to the health and safety of all patients and staff.
A key priority of CMS is to ensure that patients and staff continue to experience the highest degree of safety possible, including fire safety. CMS intends to adopt the National Fire Protection Association’s (NFPA) 2012 editions of the (LSC) and the Health Care Facilities Code (HCFC). This would reduce burden on health care providers, as the 2012 edition of the LSC also is aligned with the international building codes and would make compliance across codes much simpler for Medicare and Medicaid-participating facilities.
PUBLIC INPUT INVITED:
To view the proposed rule you may visit www.federalregister.gov/articles/2014/04/16/2014-08602/medicare-and-medicaid-programs-fire-safety-requirements-for-certain-health-care-facilities. PDF format is available for download in the right-hand column or click here.
View CMS Memo S&C: 14-21-LSC issued April 18, 2014 here: www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-21.html.
QIPMO’s newsletter MDS Tips and Clinical Pearls – Volume 1, Issue 2 is now available online. Topics include Multidrug-Resistant Organisms (MDROs); MDS Coding – Sections I and O; and features Dave Walker’s Questions from the Field. Please visit www.nursinghomehelp.org/qipmo.html.