Healthcare compliance

LSRA & ILSM — Life Safety Risk Assessment & Interim Life Safety Measures

All 11 ILSMs explained, ASHE templates, TJC survey prep, and CMS K-tag guidance

CMS K-Tags for Fire Safety — Complete Reference

Every fire safety K-Tag explained — K-0029 through K-0072, NFPA 101/99 mapping, common survey deficiencies

Hazard Vulnerability Assessment (HVA)

Kaiser model scoring, CMS requirements, Georgia GEMA resources, and interactive HVA scoring tool

TJC Physical Environment (PE) Standards

PE chapter structure, key standards (PE.01–PE.03), SOC/PFI, annual and triennial assessments, common survey findings

Healthcare Occupancy (NFPA 101 Ch. 18/19)

Defend-in-place strategy, corridor and door requirements, suite arrangements, and hazardous areas

PCRA — Pre-Construction Risk Assessment

Four PCRA risk domains, ICRA relationship, barrier classes I–IV, ILSM triggers, and documentation

Smoke Compartments in Healthcare

22,500 sq ft maximum, 1-hour smoke barriers, door requirements, and defend-in-place support

CMS Survey Process for Fire Safety

Survey types, Life Safety Code survey focus areas, Immediate Jeopardy, and Plan of Correction

ASHE Fire Safety Compliance Toolkit

ASHE resources, ILSM templates, compliance calendar, Healthcare Fire Safety Week, and best practices