States may also require their own initial survey before permitting facilities to become operational and admit patients.įacilities conforming to the LSC and HCFC or with an acceptable Plan of Correction are considered "in compliance." The SA determines whether the LSC survey is to occur before, after, or simultaneously with the health survey. In most cases, the SA schedules the LSC/HCFC survey to coincide with the health survey however, the timing of the LSC/HCFC survey is left to the discretion of the SAs. Use only qualified fire safety inspectors who have received CMS training in the performance of these surveys.Make recommendations to the SA regarding facilities' compliance with program fire safety requirements and.Prepare statements of deficiencies and review Plans of Correction (Form CMS-2567).Complete the appropriate Fire Safety Survey Report (Form CMS-2786).Survey accredited hospitals selected for validation surveys or surveyed as a result of a substantial allegation of an unsafe conditions.
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