This K-Tag is a catch-all survey tool for documenting any NFPA 99 Chapter 11 gas equipment deficiencies not covered by other specific K-Tags. Surveyors are instructed to list applicable deficiencies and relevant Life Safety Code or NFPA standard citations in the remarks section of Form CMS-2567. This is a CMS survey/inspection instrument, not a regulation that governs a specific licensed facility type or level of care.
View official sourceK922 Gas Equipment – Other List in the REMARKS section any NFPA 99 Chapter 11 Gas Equipment requirements that are not addressed by the provided K-Tags, but are deficient. This information, along with the applicable Life Safety Code or NFPA standard citation, should be included on Form CMS-2567. Chapter 11 (NFPA 99) Form CMS-2786R (07/2018) Page 44 Name of Facility 2012 LIFE SAFETY CODE ID PREFIX MET NOT MET N/A REMARKS