This program provides oversight and management of the Facility Fire Safety and Building Construction (FFS&C) requirements for all state licensed and/or federally certified health care facilities. To accomplish these tasks, FFS&C staff perform facility plans reviews and approvals, on-site plan inspections/finalizations, consultations, and periodic facility fire and safety surveys, including complaint/fire investigations. At present, our scope of responsibility includes:
- Ambulatory surgery centers
- Hospitals
- Nursing facilities
- Intermediate care facilities for individuals with intellectual disabilities
- End stage renal disease facilities
- Residential assisted living facilities
Below are the required documents required for submission for a fire safety and construction approval.
Toolkit and resources
Building plans may be submitted electronically. Submittal Form - PDF Format (fillable)
- Reporting Form
- Fire Watch - requirements and form
- CMS Legionella and Other Waterborne Pathogens Webinar - Archived
- CMS S&C Letter 17-30 Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD)
- Use of Antifreeze in Sprinkler Systems
- Sprinkler System Inspection, Testing, and Maintenance for Hospitals, ICF's, Long Term Care Facilities
- Sprinkler System Inspection, Testing, and Maintenance Chart (NFPA)
- Survey Entrance Checklist for Skilled Nursing Facilities (SNFs)
- Survey Entrance Checklist for Residential Care/Assisted Living (RALFs)
- Survey Entrance Checklist for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs)
- Survey Entrance Checklist for Ambulatory Surgical Centers (ASCs)
- State Licensure Waiver - Presentation takes viewer to external YouTube location
- Federal Waiver Request Form
Both state and federal laws regulate the construction of facilities. Below are links to both federal and state rules governing the licensing and certification process for facility fire safety and construction.