Regulation detail

K-Tag K325

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K-Tag K325 active

Alcohol Based Hand Rub Dispenser (ABHR)

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

This regulation establishes fire safety requirements for alcohol-based hand rub (ABHR) dispensers, specifying conditions related to corridor width, dispenser capacity, spacing, aggregate volume limits, storage compliance, ignition source proximity, flooring type, alcohol concentration, and access controls. These are physical plant and life safety standards derived from the 2012 Life Safety Code and applicable CMS conditions of participation. Facility operators must ensure all listed conditions are met or that dispensers are protected per NFPA/LSC section 8.7.3.1.

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Regulation text
K325 Alcohol Based Hand Rub Dispenser (ABHR) 
ABHRs are protected in accordance with 8.7.3.1, unless all conditions are 
met: 
 Corridor is at least 6 feet wide.
 Maximum individual dispenser capacity is 0.32 gallons (0.53 gallons in
suites) of fluid and 18 ounces of Level 1 aerosols.
 Dispensers shall have a minimum of four foot horizontal spacing.
 Not more than an aggregate of 10 gallons of fluid or 1135 ounces of
aerosol are used in a single smoke compartment outside a storage
cabinet, excluding one individual dispenser per room.
 Storage in a single smoke compartment greater than 5 gallons complies
with NFPA 30.
 Dispensers are not installed within 1 inch of an ignition source.
 Dispensers over carpeted floors are in sprinklered smoke
compartments.
 ABHR does not exceed 95 percent alcohol.
 Operation of the dispenser shall comply with Section 18.3.2.6(11) or
19.3.2.6(11).
 ABHR is protected against inappropriate access.
18.3.2.6, 19.3.2.6, 42 CFR Parts 403, 418, 460, 482, 483, and 485
Form CMS-2786R (07/2018) Page 19 

Name of Facility 2012 LIFE SAFETY CODE
ID 
PREFIX MET NOT 
MET N/A REMARKS