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HHS/CMS RIN: 0938-AN79 Publication ID: Fall 2008 
Title: Fire Safety Requirements for Long-Term Care Facilities: Automatic Sprinkler Systems (CMS-3191-F) 
Abstract: On July 16, 2004, the GAO published a report on Federal fire safety standards and procedures in nursing facilities. The GAO report cited automatic sprinkler systems in all nursing facilities. As the single most effective fire safety device in long-term care facilities and it is recommended that CMS explore requiring automatic sprinkler systems in all nursing facilities and request public comments on the length of a phase-in period to allow nursing facilities to comply with the new requirement. On October 27, 2006, CMS published a proposed rule that would require automatic sprinkler systems. We received numerous public comments supporting the proposed rule. This rule finalizes the content of the proposed rule. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 483   
Legal Authority: 42 USC 1302    42 USC 1395hh   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  10/27/2006  71 FR 62957   
NPRM Comment Period End  12/26/2006    
Final Action  08/13/2008  73 FR 47075   
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Danielle N. Shearer
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Clinical Standards Group, Mailstop S3-02-01, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-6617
Fax:410 786-8532
Email: danielle.shearer@cms.hhs.gov