When CMS conducts an audit of the fire doors at your healthcare facility, will you be ready?

Blog Post created by kristinbigda Employee on Apr 13, 2018

Which doors in healthcare facility must be inspected and tested in accordance with NFPA 80, Standard for Fire Doors and Other Opening Protectives? Which doors are required to be fire protection rated, and how are those ratings different from fire resistance ratings for walls?

If you’re a facility manager, safety officer, engineer, life safety supervisor, EHS manager, or construction manager of a healthcare facility, these questions reflect requirements in NFPA 80 that apply to your facilities. However, not everyone is well-versed in these provisions because compliance with the annual inspection requirements in NFPA 80 for healthcare facilities is relatively new. It was only a little over a year ago that the Centers for Medicare and Medicare Services (CMS) adopted the 2012 edition of NFPA 101, Life Safety Code®, requiring U.S. healthcare facilities meet the fire door requirements in the 2010 edition of the standard.

To assist facility managers manage yearly testing and inspections of fire door assemblies, NFPA is holding a series of one-day trainings, which cover:

• typical door types encountered in a health care facility
• door locking means permitted
• eleven verification points required for the yearly inspection of swinging fire door assemblies
• the skills required to serve as the qualified person permitted to perform inspection and testing in accordance with NFPA 80


In the end, understanding the knowledge and skill-set required to perform fire door inspections and tests, as well as when to conduct a yearly inspection of fire door assemblies, will help ensure that your healthcare facility complies with NFPA 80 and is prepared for CMS audits.

Upcoming NFPA 80 trainings are scheduled, as follows:

• Skokie, IL – May 3
• Atlantic City, NJ – May 24
• Ft. Lauderdale, FL – June 28
• Quincy, MA – June 28
• San Francisco, CA – July 19
• Durham, NC – November 8
• Garden Grove, CA – December 13

Space is limited, so make sure to sign up as quickly as possible.