Compliance with the Life Safety Code (LSC) in End Stage Renal Disease (ESRD) Facilities
•Limited LSC Applicability to ESRD Facilities: Effective July 16, 2012, compliance by certified ESRD facilities with the
applicable requirements of the 2000 edition of the National Fire Protection Association (NFPA) Life Safety Code 101 is limited
to those ESRD facilities that are located adjacent to high hazardous occupancies and those facilities that do not exit to
the outside at grade level from the patient treatment area.
•Retained Compliance by ESRD Facilities: All ESRD facilities are still required to comply with State and local fire codes
and other safety standards required by 42 CFR Part 494 Conditions for Coverage (CfC) for ESRD facilities.
•Attestation by ESRD Facilities for Exemption: ESRD providers may submit an attestation to claim an exemption to the NFPA
LSC requirements if they are not located adjacent to high hazard occupancies and they do provide exits at grade level from
the patient treatment area level.