At Life Safety Enterprises Inc., we believe being prepared can make the difference between life and death.

 

LSE is dedicated to providing top-rated Consulting, Certification, Inspection and Firestop/Construction programs designed to provide organizations with superior services meeting the most stringent national safety requirements of the NFPA, The Joint Commission, Centers for Medicare & Medicaid(CMS) and Code Officials.

Life Safety Enterprises Inc.

1135 WAIVERS

A word of caution...

If you plan to use the 1135 Waiver, make sure you read the Waiver to fully understand what you can/can not do. There is a misconception that since the 1135 waiver exists with CMS, any healthcare facility can use it. However, it doesn't work that way. There are specific guidelines that must be followed. 

1. You must submit a request to CMS to adopt the 1135 Waiver. This documentation includes specific criteria that must be included such as why the waiver is needed, the specific requirements to be waived, duration, etc.

2. CMS must approve your use of the 1135 Waiver. This is not a blanket waiver that will include all areas within the waiver. An example is the ITM portion of the Life Safety EOP.

3. If approved, you must update your EOP (Emergency Operations Plan) to address how you are going to adopt the Waiver and how this may change your Policies and Procedures during the emergency.

4. The 1135 Waiver is a federal document, and does not necessarily apply to individual state requirements. Be sure to check with you local AHJ (Authority Having Jurisdiction) for approval on a state level.

We are seeing facilities that are
assuming because the 1135 Waiver is available, they are assuming they can adopt it. Please don't put your staff, patients and/or visitors at risk because you are not following the proper protocol of the 1135 Waiver. Remember - if you do implement the 1135 Waiver, be sure you have documented proof that you have done a Risk Assessment and are implementing proper ILSM's.

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    Life Safety Enterprises is a proud member of: 

     

    • NFPA - National Fire Protection Association

    • ASHE - American Society for Healthcare Executives

    • OHA - Ohio Hospital Association

    • NOSHE - Northern Ohio Society for Healthcare Executives

    • OSHFM - Ohio Society for Healthcare Facility Managers

    • FHEA - Florida Healthcare Executives Association

    • FFMIA - The Florida Fire Marshalls and Inspectors Association

    ​• NEOFPA - North Eastern Ohio Fire Prevention Association

     

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    Copyright 2020 Life Safety Enterprises Inc. All rights reserved. 

    Life Safety Enterprises Inc. - Regulatory Compliance Specialists.t 

     

    Corporate Headquarters:

    Ph: 440-918-1641

    4699 Hamann Parkway

    Willoughby, Ohio 44094

     

    Florida Offices:

    Ph: 239-398-6434

    15275 Collier Blvd.

    # 201-126

    Naples, Florida 34119

     

     

     

    Toll Free: 1-855-918-1641ou.

    Email: Info@lifesafetyenterprises.com

     

    Inspection ​Services

    45% of all violations found during a Joint Commission survey are directly related to Life Safety Code deficiencies.

     

    This is why we at Life Safety Enterprises Inc. have created the "ClosedLoop Compliance" Asset Management Program. We take our clients full circle from inventory to inspection to remediation allowing them to have detailed information every step of the way to meet all of their compliance needs. The "ClosedLoop Compliance" Program can include any of the following items;

     

    • Doors – Corridor, Fire, Smoke

    • Egress Lighting – Exit Signs, Emergency Lights

    • Fire Extinguishers

    • Rated Barrier Walls – Fire and Smoke (including floors)

    • Smoke and Fire Dampers

    • Smoke-tight corridor walls

    • Other Items – AEDs, Code Blue Relays, Electrical Receptacles, OSHA related programs, Hazard Recognition

     

    Each item is tagged with a unique bar code to be used during the inspection process. The comprehensive database will be used to generate detailed inspection reports and work orders. This can be accomplished through the LSE "ClosedLoop Compliance" Program or by using your in-house software solution.

     

    Our "Best Practice" comprehensive inspection programs allow LSE to identify any deficiencies prior to CMS, The Joint Commission, or any other regulatory agency's survey. The LSE Barrier Management Program gives you the ability to develop a strategic plan of action based on your timeframe, your budget, etc… 

     

    LSE inspection programs are designed to meet the stringent requirements set forth by;

     

    • NFPA codes especially 101– Life Safety Code & NFPA 99 

    • ICC – International Code Council

    • Joint Commission – Statement of Conditions

    • CMS – Conditions of Participation

    • State and Local Building and Fire Codes

    • Standards set forth by other accrediting bodies

     

     

    Life Safety Enterprises has the most comprehensive Fire and Life Safety Code inspection and survey program in the industry. Our highly trained Field Inspectors have one goal in mind – to provide the safest possible facility for all your occupants.

     

    LSE is committed to saving you time and money over the long haul with the use of our Barrier Management Program. Once the initial deficiencies are identified, and remediation is completed, subsequent inspections become mere maintenance.

     

     

    "Don’t waste your time and money on random, spot check surveys that only tell you part of your compliance story.

    Get the full story with Life Safety Enterprises Inc.!"