Life Safety Code (LSC) and Emergency Preparedness (EP) requirements are often overlooked until survey time — and that’s when issues surface. January is the right time to review your systems and ensure everything is up to date.
Key actions include:
- Reviewing annual drills and exercises
- Updating risk assessments
- Ensuring documentation is complete and accessible
- Verifying that staff understand their roles during emergencies
- Conducting environmental rounds to identify LSC risks
A proactive approach reduces citations and strengthens resident safety. Day 9 of the 12 Days of Compliance is all about reminding you that while you may not get points on survey from a K-tag or an E-tag, that doesn’t mean you should ignore issues until someone else identifies them.

New Year Compliance Check:
Have you completed your annual EPP review, including HVA?
CMS Compliance Group offers Life Safety Code and emergency preparedness reviews to help reduce compliance risk.