Nursing homes and other healthcare facilities must ensure that their emergency electrical power system is adequate to provide lighting to all entrances and exits, as well as maintain fire detection, alarm, and extinguishing systems and life support systems in the event of a power outage. If life support systems are used, an emergency generator must be located on the premises. The generator must be able to start and transfer power under load conditions within 10 seconds of an interruption of normal power. A type I Essential Electrical System must also be installed if the facility uses life support systems and residents are on life support equipment. The emergency electrical system and generator must be tested and maintained in accordance with NFPA 99 and NFPA 110, and records must be kept. This letter impacts nursing homes and other healthcare facilities by requiring them to have an emergency electrical power system and generator, and to test and maintain them in accordance with NFPA standards.

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