PURPOSE: This rule specifies the requirements for fire safety, general safety and operating features in a hospital.

PUBLISHER’S NOTE: The secretary of state has determined that the publication of the entire text of the material, which is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. This material as incorporated by reference in the rule shall be maintained by the agency at its headquarters and shall be made available 19 CSR 30-20

to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here.

1. (1) Each hospital shall comply with the “Operating Features” requirements of Chapter 19 of NFPA 101, 2000. New hospitals or portions of hospitals constructed or remodeled after the effective date of this amendment shall be maintained so that the building and its various operating systems comply with NFPA 99, 1999 and NFPA 101, 2000, which are incorporated by reference in this rule and are published by the National Fire Protection Association (NFPA), NFPA Headquarters, 1 Batterymarch Park, Quincy, MA 02169. This rule does not incorporate any subsequent amendments or additions. Existing hospital facilities constructed prior to the effective date of this amendment shall maintain and operate the building in compliance with the design and safety regulations in effect at the time of their construction.
2. (2) Each hospital shall be maintained in good repair to facilitate the maintenance of an appropriate health care delivery environment and to minimize hazards.
3. (3) Each hospital shall develop a process for the identification and abatement of occupant safety hazards in their facilities. Any safety hazard or threat to the general safety of patients, staff, or the public shall be corrected.
4. (4) Each hospital shall develop and maintain current a disaster plan which is specified to its facility for response to man-made or natural disasters. Chapter 11 of NFPA 99, 1999 which is incorporated by reference in this rule and is published by the National Fire Protection Association (NFPA), NFPA Headquarters, 1 Batterymarch Park, Quincy, MA 02169, shall be used as a guide in the preparation and revision of the hospital’s health care disaster plan. This rule does not incorporate any subsequent amendments or additions.
5. (5) Fire detection and alarm systems, smoke containment and evacuation systems, exit lighting, fire and smoke doors, and other equipment required by this rule shall be tested at intervals not to exceed six (6) months and shall be continuously maintained in proper operating condition. Automatic sprinkler systems will be tested in accordance with 101 NFPA 2000, section 9.7.5, which is incorporated by reference in this rule and is published by the National Fire Protection Association (NFPA), NFPA Headquarters, 1 SENIOR SERVICES

Batterymarch Park, Quincy, MA 02169. This rule does not incorporate any subsequent amendments or additions.

1. (6) Fire-retardant protective coatings shall be applied to paneling and other materials at intervals as necessary to maintain the required flame-retardant properties.
2. (7) All draperies, curtains, and cubicle curtains shall be inherently flame-retardant or treated and maintained to retard flame.
3. (8) A written fire safety and evacuation plan shall be available to all personnel. The plan shall provide for the protection of all persons in the event of fire and for their evacuation to areas of refuge in or outside the building when necessary. All employees shall be periodically instructed and kept informed respecting their duties under the plan.
4. (9) Fire drills shall be held at least quarterly for each shift and shall include the simulated use of fire alarm signals and simulation of emergency fire conditions. The movement of patients is not required.

AUTHORITY: section 192.006, RSMo 2000, and section 197.080, RSMo Supp. 2013.* This rule previously filed as 19 CSR 30- 20.021(3)(K). Original rule filed June 27, 2007, effective Feb. 29, 2008. Amended: Filed Dec. 31, 2013, effective Aug. 30, 2014.

*Original authority: 192.006, RSMo 1993, amended 1995 and 197.080, RSMo 1953, amended 1993, 1995.