In order to recieve federal reimbursement dollars for Medicare/Medicaid residents the LTCF must comply with
Title 42: Public Health CFR
PART 483—REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES
Subpart B—Requirements for Long Term Care Facilities
§483.73 Emergency preparedness.
The LTC facility must comply with all applicable Federal, State and local emergency preparedness requirements. The LTC facility must establish and maintain an emergency preparedness program that meets the requirements of this section. The emergency preparedness program must include, but not be limited to, the following elements:
(a)
Emergency plan. The LTC facility must develop and maintain an emergency preparedness plan that must be reviewed, and updated at least annually. The plan must do all of the following:
(e)
Emergency and standby power systems. The LTC facility must implement emergency and standby power systems based on the emergency plan set forth in paragraph (a) of this section.
(1)
Emergency generator location. The generator must be located in accordance with the location requirements found in the Health Care Facilities Code (NFPA 99 and Tentative Interim Amendments TIA 12-2, TIA 12-3, TIA 12-4, TIA 12-5, and TIA 12-6), Life Safety Code (NFPA 101 and Tentative Interim Amendments TIA 12-1, TIA 12-2, TIA 12-3, and TIA 12-4), and NFPA 110, when a new structure is built or when an existing structure or building is renovated.
(2)
Emergency generator inspection and testing. The LTC facility must implement the emergency power system inspection, testing, and maintenance requirements found in the Health Care Facilities Code, NFPA 110, and Life Safety Code.
(3)
Emergency generator fuel. LTC facilities that maintain an onsite fuel source to power emergency generators must have a plan for how it will keep emergency power systems operational during the emergency, unless it evacuates.
Generators:
Buildings that fall under Chapter 18 of NFPA 101(00) and are equipped with or in which patients require the use of life-support systems (e.g. hospitals, nursing homes with residents on ventilators) must also meet the maintenance and testing provisions of the NFPA 99, Standard for Health Care Facilities [see NFPA 101(00), Sections 18.2.9.2, 18.2.10.2, 18.5.1.2 and 18.5.1.3].
NFPA does not apparently require Generators
The current referenced standard is NFPA 101, Life Safety Code, 2012 edition, issued August 11, 2011.
7.2.3.12 Emergency Power Supply System (EPSS). Power shall
be provided as follows:
(1) A Type 60, Class 2, Level 2 EPSS for new mechanical ventilation
equipment shall be provided in accordance with NFPA 110,
Standard for Emergency and Standby Power Systems.
(2) A previously approved existing standby power generator
installation with a fuel supply adequate to operate the
equipment for 2 hours shall be permitted in lieu of
7.2.3.12(1).
(3) The generator shall be located in a room separated from
the remainder of the building by fire barriers having a
minimum I-hour fire resistance rating.
Under certain circumstances, the local public utility "shall be permited" to be used as the EPS.