Self-Preservation

What is the revised reference statement from CMS on the classification of an ambulatory occupancy as defined by one or more patients being incapable of self preservation?

Ref: S&C-11-05-LSC 
Hospital and Critical Access Hospital (CAH) Facility Life Safety Code (LSC) Occupancy Classification Update
 
“CMS does not consider the number of patients treated when determining an AHC occupancy classification. Furthermore, CMS does not consider whether or not a patient has been “rendered” incapable of taking action for self-preservation by the facility; rather, the only consideration is whether the patient is capable or incapable of self-preservation. Therefore, occupancy classification must be determined regardless of the number of patients being served or whether or not a patient has been rendered incapable of self-preservation by a hospital or CAH component facility.”

By the way, The Joint Commission (TJC) would expect compliance with CMS's stricter requirements for ASC's applying for Medicare reimbursements. However, if the ASCs are not going for Medicare reimbursements, then TJC would survey using the LSC definition for four or more patients rendered incapable of self-preservation simultaneously.