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The physical plant - all designed, constructed, equipped, and maintained to protect health and safety of residents, personnel and public Life Safety Code (LSC) - Entire construction plan and materials meet LSC standards|||CMS requires unless have waiver or exception. CMS grants waivers on SNFs; states on NFs (NFPA) - National Fire Protection Association ||established LSC Purpose of LSC - to provide reasonable degree of safety from fire. Waivers for Life Safety Code - If CMS finds a state fire and safety code adequately protects residents and personnel then LSC does not apply. Older facilities may obtain a waiver if they are and have been in compliance with an older addition of LSC as specified by CMS.||Before a nursing home may be built it must present architectural plant to State Medicaid or designated agency that approves construction. All major renovations, such as additional beds, change in utilization of space, and so on must receive approval. The state provides guidelines on what must be a approved. Upkeep and repairs do not require prior approval.