Regulation detail

K-Tag K223

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☐ DELAYED-EGRESS LOCKING ARRANGEMENTS

Jurisdiction: CM Agency: Centers for Medicare & Medicaid Services
PSYCH_FACILITY (80%) SNF (100%)
Plain-English summary

This regulation establishes fire and life safety requirements for door locking and egress systems in psychiatric facilities, including delayed-egress locking arrangements, access-controlled egress door assemblies, elevator lobby exit access locking, and self-closing door requirements tied to fire detection, sprinkler, and alarm systems. Facility operators must ensure that any delayed-egress or access-controlled systems are approved and listed, and that self-closing doors in exit passageways, stairway enclosures, smoke barriers, and hazardous area enclosures automatically close upon activation of required fire alarm, smoke detection, sprinkler systems, or loss of power. These requirements apply to buildings protected by approved supervised automatic fire detection or sprinkler systems. The form references the 2012 Life Safety Code sections 18 and 19, which govern new and existing health care occupancies (i.e., inpatient psychiatric facilities).

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Regulation text
K223
☐ DELAYED-EGRESS LOCKING ARRANGEMENTS
Approved, listed delayed-egress locking systems installed in accordance 
with 7.2.1.6.1 shall be permitted on door assemblies serving low and 
ordinary hazard contents in buildings protected throughout by an approved, 
supervised automatic fire detection system or an approved, supervised 
automatic sprinkler system. 
18.2.2.2.4, 19.2.2.2.4 
☐ ACCESS-CONTROLLED EGRESS LOCKING ARRANGEMENTS
Access-Controlled Egress Door assemblies installed in accordance with 
 7.2.1.6.2 shall be permitted. 
18.2.2.2.4, 19.2.2.2.4 
☐ ELEVATOR LOBBY EXIT ACCESS LOCKING ARRANGEMENTS
Elevator lobby exit access door locking in accordance with 7.2.1.6.3 shall 
be permitted on door assemblies in buildings protected throughout by an 
approved, supervised automatic fire detection system and an approved, 
 supervised automatic sprinkler system. 
18.2.2.2.4, 19.2.2.2.4 
Doors with Self-Closing Devices 
 Doors in an exit passageway, stairway enclosure, or horizontal exit, smoke 
barrier, or hazardous area enclosure are self-closing and kept in the closed 
position, unless held open by a release device complying with 7.2.1.8.2 that 
automatically closes all such doors throughout the smoke compartment or 
entire facility upon activation of: 
 Required manual fire alarm system; and
 Local smoke detectors designed to detect smoke passing through the
opening or a required smoke detection system; and
 Automatic sprinkler system, if installed; and
 Loss of power.
18.2.2.2.7, 18.2.2.2.8, 19.2.2.2.7, 19.2.2.2.8
 MET NOT 
MET N/A REMARKS 
Name of Facility 2012 LIFE SAFETY CODE
 
Form CMS-2786R (07/2018)
 Page 8 

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