Normalized deficiency concept

Environment & life safety

Inferred274 source-native tags

Physical environment and Life Safety Code: smoke barriers, egress, sprinklers, fire alarms, electrical and gas systems.

Facilities cited

Citations

190,439

CMS current window

Facilities cited

13,941

CMS tags

274

Jurisdictions

code systems mapped

Universe

CMS

certified nursing homes

Method

Crosswalk

category level

Mapping methodology

How codes map to this concept

Code system: cms_ltc_survey_tags
Jurisdiction: US-CMS
Basis: CMS 'Deficiency Category' field on Health and Fire Safety Deficiencies datasets
Source categories: Environmental Deficiencies · Automatic Sprinkler Systems Deficiencies · Construction Deficiencies · Corridor Walls and Doors Deficiencies · Egress Deficiencies · Electrical Deficiencies · Fire Alarm Systems Deficiencies · Gas, Vacuum, and Electrical Systems Deficiencies · Hazardous Area Deficiencies · Illumination and Emergency Power Deficiencies · Interior Deficiencies · Laboratories Deficiencies · Medical Gases and Anesthetizing Areas Deficiencies · Miscellaneous Deficiencies · Services Deficiencies · Smoke Deficiencies · Smoking Regulations Deficiencies
Confidence: Inferred Explicit category-level mapping, reviewed by hand; tag identity preserved.

Source-native tags in this concept

Tag	Description	Citations	Facilities
K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies	16,500	9,765
K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies	11,281	7,559
K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies	9,125	6,470
K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies	8,831	6,055
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies	8,378	6,068
K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies	8,183	5,637
K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies	7,654	5,344
K-0324	Provide properly protected cooking facilities. Smoke Deficiencies	7,649	5,843
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies	5,935	4,576
K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies	5,738	4,249
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies	5,216	4,129
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies	5,208	4,107
K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies	5,178	4,257
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies	4,702	3,804
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies	4,666	3,757
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies	4,551	3,231
K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies	3,946	3,272
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies	3,787	3,029
K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies	3,768	3,141
F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies	3,427	2,570
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies	3,126	2,586
K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies	3,119	2,660
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies	2,931	2,538
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies	2,351	1,987
K-0161	Use approved construction type or materials. Construction Deficiencies	2,222	1,719
K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies	2,167	1,758
F-0908	Keep all essential equipment working safely. Environmental Deficiencies	1,934	1,660
F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies	1,855	1,492
F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies	1,831	1,564
K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies	1,769	1,545
K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies	1,669	1,546
K-0271	Have exits that are accessible at all times. Egress Deficiencies	1,509	1,339
K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies	1,441	1,299
K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies	1,222	1,142
K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies	1,189	937
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies	1,162	1,023
K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies	1,154	924
K-0281	Install proper backup exit lighting. Egress Deficiencies	1,061	949
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies	1,057	888
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies	1,043	928
K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies	1,028	893
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies	972	894
F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies	941	393
K-0100	Meet other general requirements. Construction Deficiencies	908	788
K-0531	Have elevators that firefighters can control in the event of a fire. Services Deficiencies	879	730
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies	815	781
K-0912	Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies	803	733
K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies	737	698
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies	682	648
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies	638	560
K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies	606	550
K-0500	Meet other general requirements that are deficient. Services Deficiencies	603	542
K-0541	Install properly constructed and protected linen or trash chutes. Services Deficiencies	599	481
K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies	548	482
F-0909	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies	490	459
K-0331	Construct fire resistant interior walls. Smoke Deficiencies	477	452
K-0300	Meet other general requirements that are deficient. Egress Deficiencies	461	398
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies	427	384
K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies	415	397
K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies	410	395
K-0915	Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies	396	341
K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies	389	362
K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies	387	351
K-0344	Have an alternate power supply for its alarm system. Smoke Deficiencies	358	329
K-0133	Install a two-hour-resistant firewall separation. Construction Deficiencies	326	261
K-0200	Meet other general requirements. Egress Deficiencies	307	296
F-0926	Have policies on smoking. Environmental Deficiencies	289	273
K-0901	Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies	274	261
K-0754	Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies	262	237
K-0361	Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies	253	243
K-0522	Have an externally vented heating system. Services Deficiencies	221	213
K-0922	Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies	219	196
F-0924	Put firmly secured handrails on each side of hallways. Environmental Deficiencies	195	190
K-0371	Have properly sized and located compartments to protect residents from smoke. Smoke Deficiencies	185	170
K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies	185	180
K-0111	Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies	172	164
K-0226	Have horizontal exits used in accordance with safety requirements. Egress Deficiencies	167	156
F-0911	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies	161	64
F-0914	Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies	161	154
F-0923	Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies	140	133
K-0751	Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies	140	136
K-0908	Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Gas, Vacuum, and Electrical Systems Deficiencies	127	117
K-0132	Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies	119	108
K-0364	Install properly constructed windows in hallway walls or doors. Smoke Deficiencies	119	118
K-0932	Meet other general requirements. Smoke Deficiencies	115	112
K-0925	Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies	112	107
K-0900	Meet Health Care Facilities Code mechanical requirements. Miscellaneous Deficiencies	110	106
K-0917	Ensure electrical receptacles or cover plates have distinctive color or marking. Gas, Vacuum, and Electrical Systems Deficiencies	106	105
K-0241	Have correct number of accessible exits for each story. Egress Deficiencies	101	56
K-0227	Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Egress Deficiencies	84	82
K-0930	Ensure proper storage of liquid oxygen. Gas, Vacuum, and Electrical Systems Deficiencies	82	77
K-0907	Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies	78	73
K-0221	Provide rooms that can be unlocked from inside without a key. Egress Deficiencies	75	75
K-0252	Provide at least two remote exits on each floor or fire section of the building. Egress Deficiencies	75	47
F-0917	Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Environmental Deficiencies	64	64
F-0920	Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Environmental Deficiencies	60	59
K-0233	Install resident room doors of proper design and width. Egress Deficiencies	58	48
K-0771	Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Miscellaneous Deficiencies	51	49
K-0791	Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. Miscellaneous Deficiencies	50	49
K-0913	Ensure operating rooms are properly protected and written records are maintained and available for inspection. Gas, Vacuum, and Electrical Systems Deficiencies	50	49
K-0163	Install noncombustible or limited-combustible interior walls. Construction Deficiencies	47	43
K-0224	Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. Egress Deficiencies	45	44
F-0922	Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies	41	41
K-0928	Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. Gas, Vacuum, and Electrical Systems Deficiencies	40	40
K-0902	Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. Gas, Vacuum, and Electrical Systems Deficiencies	34	32
K-0909	Ensure gas and vacuum piping is labeled. Gas, Vacuum, and Electrical Systems Deficiencies	30	28
K-0231	Provide large enough exits. Egress Deficiencies	29	29
K-0251	Conform to length requirements for dead end corridors. Egress Deficiencies	28	26
K-0379	Have proper openings in smoke barrier doors. Smoke Deficiencies	28	28
F-0907	Provide enough space and equipment to meet each resident's needs Environmental Deficiencies	20	20
K-0255	Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. Egress Deficiencies	20	20
F-0910	Ensure resident rooms meet each resident's needs. Environmental Deficiencies	19	19
K-0525	Enure that solid fuel-burning fireplaces are not in patient sleeping areas. Services Deficiencies	19	18
K-0524	Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. Services Deficiencies	18	17
K-0532	Have a properly installed and maintained dumbwaiter or escalator. Services Deficiencies	17	16
K-0254	Provide hallway or ground-level exits in all residents' rooms. Egress Deficiencies	16	12
K-0400	Meet fire sprinkler requirement for tall buildings. Miscellaneous Deficiencies	16	16
K-0523	Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. Services Deficiencies	16	16
K-0906	Ensure gas cylinders are properly stored. Gas, Vacuum, and Electrical Systems Deficiencies	16	16
K-0904	Have a properly installed medical gas master alarm panel. Gas, Vacuum, and Electrical Systems Deficiencies	14	14
K-0373	Have enough space near smoke barriers to protect residents. Smoke Deficiencies	13	12
K-0261	Have properly spaced exits within rooms. Egress Deficiencies	12	9
F-0906	Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Environmental Deficiencies	11	11
K-0905	Ensure that gas containers are correctly designed and tested, and in locations that are labeled. Gas, Vacuum, and Electrical Systems Deficiencies	11	11
K-0924	Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. Gas, Vacuum, and Electrical Systems Deficiencies	11	11
F-0916	Ensure each resident has a room at or above ground level. Environmental Deficiencies	10	4
F-0918	Provide a bathroom in or located near each resident’s room. Environmental Deficiencies	10	10
K-0162	Have a combustible roofing system that meets safety standards. Construction Deficiencies	10	10
K-0253	Provide two separate exits in rooms of more than 1000 square feet. Egress Deficiencies	6	5
F-0441	Have a program that investigates, controls and keeps infection from spreading. Environmental Deficiencies	5	5
F-0915	Ensure each resident room has a window to the outside that meets requirements Environmental Deficiencies	5	5
K-0381	Provide outside doors or windows in every resident room. Smoke Deficiencies	4	4
F-0913	Provide bedrooms that have direct access to an exit hallway. Environmental Deficiencies	3	2
K-0112	Add automatic sprinklers after major renovation. Construction Deficiencies	3	3
F-0323	Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Environmental Deficiencies	2	2
K-0752	Ensure new upholstered furniture and mattresses meet char length and heat release criteria. Miscellaneous Deficiencies	2	2
K-0910	Ensure when modifications are made that breach pipelines, testing is conducted on downstream portions of the piping system. Gas, Vacuum, and Electrical Systems Deficiencies	2	2
F-0372	Dispose of garbage and refuse properly. Environmental Deficiencies	1	1
F-0465	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies	1	1
F-0469	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies	1	1
K-0025	Walls that prevent smoke from passing through and would resist fire for at least one hour. Smoke Deficiencies	1	1
K-0038	Exits that are accessible at all times. Egress Deficiencies	1	1
K-0072	Exits that are free from obstructions and can be used at all times. Interior Deficiencies	1	1
K-0130	Have other fire safety features required by fire safety codes. Miscellaneous Deficiencies	1	1
K-0322	Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. Smoke Deficiencies	1	1
K-0933	Ensure that periodic evaluations are made of hazards that could be encountered during surgical procedures, and fire prevention procedures are established. Smoke Deficiencies	1	1
F-0252	Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Environmental Deficiencies	0	0
F-0253	Provide housekeeping and maintenance services. Environmental Deficiencies	0	0
F-0254	Provide clean bed and bath linens that are in good condition. Environmental Deficiencies	0	0
F-0256	Provide adequate and comfortable lighting levels in all areas. Environmental Deficiencies	0	0
F-0257	Maintain comfortable and safe temperature levels. Environmental Deficiencies	0	0
F-0258	Maintain comfortable sound levels. Environmental Deficiencies	0	0
F-0454	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. Environmental Deficiencies	0	0
F-0455	Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Environmental Deficiencies	0	0
F-0456	Keep all essential equipment working safely. Environmental Deficiencies	0	0
F-0457	Provide bedrooms that hold no more than 4 residents per room. Environmental Deficiencies	0	0
F-0458	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies	0	0
F-0459	Provide bedrooms that have direct access to an exit hallway. Environmental Deficiencies	0	0
F-0460	Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies	0	0
F-0461	Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Environmental Deficiencies	0	0
F-0462	Provide a bathroom in or located near each resident’s room. Environmental Deficiencies	0	0
F-0463	Make sure that a working call system is available in each resident's room or bathroom and bathing area. Environmental Deficiencies	0	0
F-0464	Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Environmental Deficiencies	0	0
F-0466	Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies	0	0
F-0467	Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies	0	0
F-0468	Put firmly secured handrails on each side of hallways. Environmental Deficiencies	0	0
K-0011	A two-hour-resistant firewall separation. Construction Deficiencies	0	0
K-0012	Approved construction type or materials. Construction Deficiencies	0	0
K-0014	Fire resistant interior walls. Interior Deficiencies	0	0
K-0015	Fire resistant room wall surfaces. Interior Deficiencies	0	0
K-0016	Fire resistant floor finishes. Interior Deficiencies	0	0
K-0017	Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Corridor Walls and Doors Deficiencies	0	0
K-0018	Corridor and hallway doors that block smoke. Corridor Walls and Doors Deficiencies	0	0
K-0019	Properly constructed windows in hallway walls or doors. Corridor Walls and Doors Deficiencies	0	0
K-0020	Proper stairway enclosures and vertical shafts. Construction Deficiencies	0	0
K-0021	Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Construction Deficiencies	0	0
K-0022	Signs that state that exit doors are to be kept closed. Corridor Walls and Doors Deficiencies	0	0
K-0023	At least two compartments on every floor to protect residents from smoke. Smoke Deficiencies	0	0
K-0024	Properly sized and located compartments to protect residents from smoke. Smoke Deficiencies	0	0
K-0026	Enough space near smoke barriers to protect residents. Smoke Deficiencies	0	0
K-0027	Smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies	0	0
K-0028	Doors of sufficient width and proper construction in smoke barriers. Smoke Deficiencies	0	0
K-0029	Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Hazardous Area Deficiencies	0	0
K-0030	Gift shops separated and protected as hazardous areas. Hazardous Area Deficiencies	0	0
K-0031	A properly protected laboratory for handling hazardous materials. Laboratories Deficiencies	0	0
K-0032	At least two remote exits on each floor or fire section of the building. Egress Deficiencies	0	0
K-0033	Protected exits that allow the resident to escape the building. Construction Deficiencies	0	0
K-0034	Exit stairways and towers that are smoke proof. Egress Deficiencies	0	0
K-0035	Large enough exits. Egress Deficiencies	0	0
K-0036	Properly spaced exits within rooms. Egress Deficiencies	0	0
K-0037	Dead end corridors. Egress Deficiencies	0	0
K-0039	Corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies	0	0
K-0040	Resident room doors of proper design and width. Egress Deficiencies	0	0
K-0041	Hallway or ground-level exits in all residents' rooms. Egress Deficiencies	0	0
K-0042	Two separate exits in rooms of more than 1000 square feet. Egress Deficiencies	0	0
K-0043	Rooms that can be unlocked from inside without a key. Egress Deficiencies	0	0
K-0044	Horizontal exits. Egress Deficiencies	0	0
K-0045	Proper backup exit lighting. Illumination and Emergency Power Deficiencies	0	0
K-0046	Emergency lighting that can last at least 1 1/2 hours. Illumination and Emergency Power Deficiencies	0	0
K-0047	Properly located and lighted "Exit" signs. Illumination and Emergency Power Deficiencies	0	0
K-0051	A fire alarm system that can be heard throughout the facility. Fire Alarm Systems Deficiencies	0	0
K-0052	An approved installation, maintenance and testing program for fire alarm systems. Fire Alarm Systems Deficiencies	0	0
K-0053	An automatic smoke detection system in all hallways. Fire Alarm Systems Deficiencies	0	0
K-0054	Properly maintained smoke detectors. Fire Alarm Systems Deficiencies	0	0
K-0055	Outside doors or windows in every resident room. Fire Alarm Systems Deficiencies	0	0
K-0056	An approved automatic sprinkler system connected to the fire alarm system. Automatic Sprinkler Systems Deficiencies	0	0
K-0059	A properly installed device for maintaining water pressure in the sprinkler system. Automatic Sprinkler Systems Deficiencies	0	0
K-0060	A complete sprinkler system with alarm system connection. Automatic Sprinkler Systems Deficiencies	0	0
K-0061	Properly working alarms on sprinkler valves. Automatic Sprinkler Systems Deficiencies	0	0
K-0062	Automatic sprinkler systems that have been maintained in working order. Automatic Sprinkler Systems Deficiencies	0	0
K-0063	An adequate water supply for the sprinkler system. Automatic Sprinkler Systems Deficiencies	0	0
K-0064	Portable fire extinguishers. Automatic Sprinkler Systems Deficiencies	0	0
K-0066	Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Smoking Regulations Deficiencies	0	0
K-0067	Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies	0	0
K-0068	An externally vented heating system. Services Deficiencies	0	0
K-0069	Properly protected cooking facilities. Services Deficiencies	0	0
K-0070	Restrictions on the use of portable space heaters. Services Deficiencies	0	0
K-0071	Properly constructed linen or trash chutes. Services Deficiencies	0	0
K-0073	Restrictions on the use of highly flammable decorations. Interior Deficiencies	0	0
K-0074	Restrictions on the use of flammable curtains. Interior Deficiencies	0	0
K-0075	Properly sized and located linen or trash receptacles. Interior Deficiencies	0	0
K-0076	Proper medical gas storage and administration areas. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-0077	Properly constructed piped-in oxygen systems. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-0078	Properly constructed and protected anesthetizing areas. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-0103	Noncombustible or limited-combustible interior walls. Construction Deficiencies	0	0
K-0104	Proper construction of ducts through walls designed to prevent smoke passage. Smoke Deficiencies	0	0
K-0105	Proper lighting for emergency exits. Illumination and Emergency Power Deficiencies	0	0
K-0106	Proper power supply for life support equipment. Electrical Deficiencies	0	0
K-0107	An alternate power supply for its alarm system. Illumination and Emergency Power Deficiencies	0	0
K-0108	Emergency power for alarms and communications systems (new only). Illumination and Emergency Power Deficiencies	0	0
K-0109	A properly located automatic smoke detector system in all hallways (new only). Fire Alarm Systems Deficiencies	0	0
K-0134	Emergency showers. Laboratories Deficiencies	0	0
K-0135	Proper facilities for the use and storage of combustible liquids. Laboratories Deficiencies	0	0
K-0136	Proper procedures for handling laboratory emergencies. Laboratories Deficiencies	0	0
K-0140	A properly installed medical gas master alarm panel. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-0141	No-smoking signs where oxygen is used. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-0142	A properly constructed or installed hyperbaric treatment facility. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-0143	Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-0144	Weekly inspections and monthly testing of generators. Electrical Deficiencies	0	0
K-0145	The appropriate emergency electrical system. Electrical Deficiencies	0	0
K-0146	A separate and independent backup electrical power source. Electrical Deficiencies	0	0
K-0147	Properly installed electrical wiring and equipment. Electrical Deficiencies	0	0
K-0153	Procedures for handling laboratory emergencies. Laboratories Deficiencies	0	0
K-0154	Back-up procedures in place for a faulty automatic sprinkler system. Automatic Sprinkler Systems Deficiencies	0	0
K-0155	An approved back-up procedure for a faulty fire alarm system. Fire Alarm Systems Deficiencies	0	0
K-0160	An elevator that firefighters can control in the event of a fire. Services Deficiencies	0	0
K-0168	Be of proper construction type and height - slow evacuation Construction Deficiencies	0	0
K-0169	Be of proper construction type and height - impractical evacuation Construction Deficiencies	0	0
K-0228	Have properly designed and constructed stairways and smokeproof enclosures. Egress Deficiencies	0	0
K-0256	Ensure that sleeping suites have required exit access and constant staff supervision. Egress Deficiencies	0	0
K-0257	Ensure that non-sleeping suites have required exit access. Egress Deficiencies	0	0
K-0258	Provide enough exits Egress Deficiencies	0	0
K-0259	Provide enough exits Egress Deficiencies	0	0
K-0292	Ensure that buildings with life support systems have proper emergency lighting for equipment, exits, and directional signs. Egress Deficiencies	0	0
K-0299	Provide appropriate exit signage Egress Deficiencies	0	0
K-0323	Provide properly constructed and protected anesthetizing areas. Smoke Deficiencies	0	0
K-0329	Have proper enclosures for hazardous areas Smoke Deficiencies	0	0
K-0332	Ensure that floor finishes have correct flame spread rating. Smoke Deficiencies	0	0
K-0338	Have proper interior wall and ceiling finish Smoke Deficiencies	0	0
K-0421	Ensure that building is protected throughout by an automatic sprinkler system. Miscellaneous Deficiencies	0	0
K-0903	Ensure medical gas and air supply systems in which failure is likely to cause major injury or death, are correctly designated. Gas, Vacuum, and Electrical Systems Deficiencies	0	0
K-0931	Have a properly constructed or installed hyperbaric treatment facility. Medical Gases and Anesthetizing Areas Deficiencies	0	0
K-8131	Have proper procedures for controlling chemical spills. Laboratories Deficiencies	0	0
K-8132	Have a proper laboratory safety education program. Laboratories Deficiencies	0	0
K-8133	Have properly installed fume hoods. Laboratories Deficiencies	0	0
K-8161	Have a properly installed and maintained dumbwaiter or escalator. Services Deficiencies	0	0
K-8162	Have elevators that met current safety standards. Services Deficiencies	0	0
K-8211	Provide properly installed hallway dispensers for alcohol-based hand rub. Hazardous Area Deficiencies	0	0
K-9131	Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies	0	0
K-9132	Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies	0	0
K-9133	Install a two-hour-resistant firewall separation. Construction Deficiencies	0	0
K-9161	Use approved construction type or materials. Construction Deficiencies	0	0
K-9162	Have a combustible roofing system that meets safety standards. Construction Deficiencies	0	0
K-9211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies	0	0

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