CMS Conditions of Participation

Physical environment and common life safety code deficiencies

Dec. 8, 2022, 12:00 - 1:30 p.m.


The number of deficiencies in the physical environment Condition of Participation (CoP) and the environment of care standards has increased over the last several years. This webinar will review the most cited physical environment and life safety code deficiencies in accredited and non-accredited hospitals and critical access hospitals. We will review recent CMS categorical waivers on corrugated tubing and power strip usage as well as CMS guidance on lower relative humidity in operating rooms and areas where anesthesia is administered.


  • Describe and identify most common areas of physical environment and life safety code deficiencies
  • Explain how to avoid these common deficiencies
  • Explain how to utilize a categorical waiver
  • Describe how and when relative humidity may be lowered in anesthetizing locations


Nancy Ruzicka, BS, RPh, MBA, MJ, CHC has experience teaching and assisting hospitals and other health care facilities in understanding applicable federal and state laws, rules, regulations, and interpretative guidelines. Her experience also encompasses teaching all levels of health care staff in understanding compliance and HIPAA requirements.

Nancy’s previous experiences include director of integrity and compliance and privacy official, director of regulatory compliance and over twenty years of experience with Iowa Department of Inspections and Appeals. Nancy received her Master of Jurisprudence (MJ) in Health Law, Master of Business Administration, and Bachelor of Science in Pharmacy from Drake University, Des Moines. She is certified in Healthcare Compliance (CHC) and maintains her Iowa pharmacy license.

Recommended to attend

Anyone involved in ensuring a safe environment including C-Suite officers and board members, facility directors and managers, nursing directors and managers, risk managers, safety officers, nurse educators, infection control officers, compliance officials, accreditation specialists, quality improvement staff.  

Continuing Education

This program has been designed to meet the Minnesota Board of Nursing continuing education requirements for a total of 1.5 contact hours.

Nursing Home Administrators: The content of this conference is being reviewed by the Board of Examiners for Nursing Home Administrators for clock hours. The quantitative value assigned will be indicated on the certificate of attendance awarded to participants who attend sessions. 


  • $45 per person for MHA member hospital and health systems
  • $45 per person for MHA associate members
  • $60 per person for nonmembers 

Registration deadline

Please register by noon on the day before the webinar to ensure timely delivery of access instructions.

Approximately four business days before the web conference, you will receive an email containing instructions on connecting. Advance registration is required to ensure the delivery of instructional materials.

If you do not receive an email prior to the program with web conference details, please connect with our events and education through Contact Us.

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When and Where
  • 12/8/2022 12:00 PM CST
  • 12/8/2022 1:30 PM CST
  • Zoom Webinar