Life Safety Standards for Healthcare Business Occupancies

Host: Carolyn St.Charles, RN, BSN, MBA – Chief Clinical Officer, HealthTechS3
Presenter: Ernest Allen, ARM, CSP, CPHRM, CHFM
Date & Time: July 16, 2021 at 12pm CT


CMS and Joint Commission are expanding their accreditation life safety surveys to include hospital clinics and hospital-owned physician offices. In the past, nurse surveyors and sometimes physicians would visit those areas, but focused on infection control and patient care, with only a few minor recommendations related to the building.  Clinical surveyors have been recently trained to evaluate a wide range of standards regarding life safety and environment of care that will result in more recommendations.  The life safety surveyor will focus time on the hospital and any off-site surgery center or emergency department. But at small rural hospitals without those ambulatory care facilities, they may visit the business occupancies.

Learn what items at business occupancies will now be inspected and how to prepare. The presentation will include photo examples of focus areas and a checklist to help you prepare.

Although the life safety requirements for business occupancies are less extensive than for a hospital, there are some potential high-scoring deficiencies you will want to avoid in order to maintain your accreditation.  Ernest Allen surveys hospitals for HealthTechS3 on a regular basis to help with compliance issues related to Life Safety, Environment of Care, and Emergency Management.


Upon completion of the webinar, the participant will: 

  1. Identify deficiencies from photo examples of business occupancy surveys 
  2. Understand the new requirements of life safety standards for business occupancies
  3. Identify at least two methods for corrective action
See Checklist