Section 416.44 - Condition for coverage-EnvironmentThe ASC must have a safe and sanitary environment, properly constructed, equipped, and maintained to protect the health and safety of patients.
(a)Standard: Physical environment. The ASC must provide a functional and sanitary environment for the provision of surgical services. (1) Each operating room must be designed and equipped so that the types of surgery conducted can be performed in a manner that protects the lives and assures the physical safety of all individuals in the area.(2) The ASC must have a separate recovery room and waiting area.(b)Standard: Safety from fire.(1) Except as otherwise provided in this section, the ASC must meet the provisions applicable to Ambulatory Health Care Occupancies, regardless of the number of patients served, and must proceed in accordance with the Life Safety Code (NFPA 101 and Tentative Interim Amendments TIA 12-1, TIA 12-2, TIA 12-3, and TIA 12-4).(2) In consideration of a recommendation by the State survey agency or Accrediting Organization or at the discretion of the Secretary, may waive, for periods deemed appropriate, specific provisions of the Life Safety Code, which would result in unreasonable hardship upon an ASC, but only if the waiver will not adversely affect the health and safety of the patients.(3) The provisions of the Life Safety Code do not apply in a State if CMS finds that a fire and safety code imposed by State law adequately protects patients in an ASC.(4) An ASC may place alcohol-based hand rub dispensers in its facility if the dispensers are installed in a manner that adequately protects against inappropriate access.(5) When a sprinkler system is shut down for more than 10 hours, the ASC must:(i) Evacuate the building or portion of the building affected by the system outage until the system is back in service, or(ii) Establish a fire watch until the system is back in service.(6) Beginning July 5, 2017, an ASC must be in compliance with Chapter 21.3.2.1, Doors to hazardous areas.(c)Standard: Building Safety. Except as otherwise provided in this section, the ASC must meet the applicable provisions and must proceed in accordance with the 2012 edition of the Health Care Facilities Code (NFPA 99, and Tentative Interim Amendments TIA 12-2, TIA 12-3, TIA 12-4, TIA 12-5 and TIA 12-6). (1) Chapters 7, 8, 12, and 13 of the adopted Health Care Facilities Code do not apply to an ASC.(2) If application of the Health Care Facilities Code required under paragraph (c) of this section would result in unreasonable hardship for the ASC, CMS may waive specific provisions of the Health Care Facilities Code, but only if the waiver does not adversely affect the health and safety of patients.(d)Standard: Emergency equipment. The ASC medical staff and governing body of the ASC coordinates, develops, and revises ASC policies and procedures to specify the types of emergency equipment required for use in the ASC's operating room. The equipment must meet the following requirements: (1) Be immediately available for use during emergency situations.(2) Be appropriate for the facility's patient population.(3) Be maintained by appropriate personnel.(e)Standard: Emergency personnel. Personnel trained in the use of emergency equipment and in cardiopulmonary resuscitation must be available whenever there is a patient in the ASC.(f) The standards incorporated by reference in this section are approved for incorporation by reference by the Director of the Office of the Federal Register in accordance with 5 U.S.C. 552(a) and 1 CFR part 51 . You may inspect a copy at the CMS Information Resource Center, 7500 Security Boulevard, Baltimore, MD or at the National Archives and Records Administration (NARA). For information on the availability of this material at NARA, call 202-741-6030, or go to: http://www.archives.gov/federal_register/code_of_federal_regulations/ibr_locations.html. If any changes in this edition of the Code are incorporated by reference, CMS will publish a document in the FEDERAL REGISTER to announce the changes. (1) National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 02169, www.nfpa.org, 1.617.770.3000. (i) NFPA 99, Standards for Health Care Facilities Code of the National Fire Protection Association 99, 2012 edition, issued August 11, 2011.(ii) TIA 12-2 to NFPA 99, issued August 11, 2011.(iii) TIA 12-3 to NFPA 99, issued August 9, 2012.(iv) TIA 12-4 to NFPA 99, issued March 7, 2013.(v) TIA 12-5 to NFPA 99, issued August 1, 2013.(vi) TIA 12-6 to NFPA 99, issued March 3, 2014.(vii) NFPA 101, Life Safety Code, 2012 edition, issued August 11, 2011;(viii) TIA 12-1 to NFPA 101, issued August 11, 2011.(ix) TIA 12-2 to NFPA 101, issued October 30, 2012.(x) TIA 12-3 to NFPA 101, issued October 22, 2013.(xi) TIA 12-4 to NFPA 101, issued October 22, 2013.47 FR 34094, Aug. 5, 1982, amended at 53 FR 11508, Apr. 7, 1988; 54 FR 4026, Jan. 27, 1989; 68 FR 1385 , Jan. 10, 2003; 69 FR 18803 , Apr. 9, 2004; 70 FR 15237 , Mar. 25, 2005; 71 FR 55339 , Sept. 22, 2006; 77 FR 29030 , May 16, 2012; 81 FR 26896 , May 4, 2016; 81 FR 42548 , June 30, 2016