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Fire Watch in Healthcare Facilities: How A Total Solution Saves You Time, Compliance Risk, and Money

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Malia Powers
8 Oct 2025
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In healthcare, every second — and every dollar — matters. Facilities like hospices, assisted living communities, rehabilitation centers, and memory care units rely on fully functional fire protection systems to safeguard lives around the clock. But when those systems fail or require replacement, administrators face a serious challenge: how to stay compliant and safe without paying for costly fire watch services or shutting down operations.

That’s where A Total Solution, Inc. (ATS) makes all the difference.

ATS helps healthcare facilities navigate system impairments and upgrades efficiently. While ATS does not perform fire watch services, the company communicates immediately when a fire watch is required — and, more importantly, works fast to fix or replace systems before that cost ever comes into play.

By maintaining functionality throughout installation and minimizing downtime, ATS helps healthcare organizations avoid thousands of dollars in unnecessary fire watch expenses — all while keeping patients, staff, and compliance officers at ease.

Understanding What Fire Watch Means

When a fire alarm or sprinkler system is impaired, the NFPA and local fire marshals require facilities to implement a fire watch.

During a fire watch, trained personnel must continuously patrol affected areas, looking for signs of smoke, fire, or hazards. They must maintain detailed logs, remain on-site 24/7, and stay prepared to contact emergency services immediately if danger arises.

This procedure protects occupants when automatic systems are temporarily offline — but it also comes at a cost.

  • Fire watch services are typically billed hourly, with personnel required to cover every shift.
  • For healthcare facilities that operate 24/7, this can mean hundreds or even thousands of dollars per day in staffing costs.
  • Extended repairs or large-scale replacements can easily push those costs into the tens of thousands.

For administrators managing tight budgets and strict compliance requirements, avoiding that expense without compromising safety is a major advantage — and that’s exactly what A Total Solution delivers.

The ATS Difference: Preventing Downtime, Avoiding Fire Watch

A Total Solution’s approach to fire alarm repair and replacement is designed to keep facilities protected and compliant without triggering a fire watch requirement.

Here’s how:

1. Immediate Notification and Code Guidance

When an issue is identified, ATS immediately alerts the facility and explains whether it meets the threshold for fire watch based on NFPA 101, NFPA 72, and local fire marshal requirements.

This proactive communication ensures the customer always knows their status and can act fast — often before any enforcement or shutdown occurs.

2. Rapid Response Repairs

ATS prioritizes healthcare clients, dispatching technicians quickly to assess and restore fire alarm system performance. The goal is always to fix impairments before they reach the time window that requires fire watch.

Every minute saved prevents added cost — and ATS’s decades of experience mean issues are resolved faster, with less disruption to daily operations.

3. Zero Downtime System Replacement

When a system needs a complete replacement, ATS executes the process in phases to ensure that safety coverage remains intact from start to finish.

Here’s what that means in practice:

  • The existing semi-functional system stays active while the new equipment is installed.
  • Old components are removed only when their replacements are ready to come online.
  • At the end of each workday, all new devices installed are fully functional and tested before technicians leave the site.

This strategy ensures the building remains protected from fire at all times — meaning no period of impairment, no interruption of coverage, and no need to pay for fire watch.

4. Coordinated Compliance with Authorities

ATS communicates directly with local fire officials and facility managers throughout the process, ensuring all work remains code-compliant and properly documented. This collaboration keeps facilities in good standing and reassures regulators that safety is being maintained.

How Much Can Fire Watch Really Cost?

Many administrators underestimate how expensive fire watch can become.

  • A typical fire watch guard can cost $40–$100 per hour per person.
  • Large healthcare buildings may require multiple guards per shift to cover all zones.
  • Because healthcare facilities operate 24 hours a day, even a 48-hour impairment can easily exceed $5,000–$10,000 in temporary costs.
  • Extended system replacements can multiply those costs quickly.

With ATS’s “no downtime” installation method, those costs are eliminated entirely. Facilities keep their protection active throughout every phase, avoiding both the operational risk and the financial strain of fire watch coverage.

Why It Matters in Healthcare

Fire protection requirements in healthcare environments are more complex than in almost any other industry. Facilities must comply with strict codes from:

If systems go offline without proper coverage, administrators risk:

  • CMS compliance violations that threaten certification and funding
  • Fines or penalties from fire marshals
  • Liability exposure in the event of an incident

Beyond compliance, the stakes are deeply human. Many hospice or long-term care patients are non-ambulatory. Evacuation can take precious time — and every second counts.

A Total Solution’s ability to maintain fire protection functionality during installation or repair keeps both safety and compliance intact, protecting lives and budgets simultaneously.

 Case Example: Saving Thousands During a Fire Alarm Replacement

Consider a 60-bed hospice facility that needs a full fire alarm upgrade. The existing system still functions, but the panel and several devices are failing intermittently.

A typical contractor might shut the old system down completely during installation — triggering a mandatory fire watch for several days or even weeks.

With ATS, the process looks different:

  1. The old panel stays operational while the new system is wired.
  2. Devices are swapped zone by zone, ensuring each section remains protected.
  3. Each day’s installation ends with full testing and verification of new components.

Because the system is never fully offline, no fire watch is required — saving the facility thousands of dollars in labor costs while completing the upgrade faster and with zero downtime.

Compliance, Communication, and Confidence

Every healthcare facility must demonstrate that fire protection systems are properly maintained, inspected, and operational. When issues arise, documentation and transparency matter just as much as repair speed.

A Total Solution ensures:

  • Full transparency: Customers know exactly what’s impaired and what’s being fixed.
  • Detailed reporting: System testing, inspection logs, and updates meet NFPA and CMS standards.
  • Authority coordination: Local fire officials are informed at every stage, ensuring confidence that the facility remains compliant.

That combination of communication and execution builds trust with both customers and regulators — and it’s one of the reasons so many healthcare organizations choose ATS as their fire safety partner.

Why Healthcare Facilities Choose A Total Solution

For more than three decades, A Total Solution has served healthcare facilities across Florida, providing integrated life safety systems and reliable service that meets the industry’s most demanding standards.

Healthcare customers choose ATS because:

  • They stay operational during every phase of repair or installation.
  • They avoid costly fire watch expenses through smart planning and phased execution.
  • They stay compliant with local and federal life safety codes.
  • They gain peace of mind knowing patient safety is never compromised.

And with expertise that extends beyond fire alarms — including nurse call systems, sprinklers, access control, video surveillance, and intrusion detection — ATS delivers more than a service. It delivers a total solution for healthcare safety.

Looking Ahead: Smarter Systems, Safer Facilities

As technology advances, fire alarm and life safety systems are becoming more integrated and intelligent.

  • Real-time monitoring detects faults faster.
  • Predictive maintenance helps prevent failures before they happen.
  • Networked devices allow better coordination between alarms, nurse call, and access systems.

A Total Solution stays ahead of these trends, designing systems that not only meet today’s codes but anticipate tomorrow’s challenges — all while maintaining the same commitment to zero downtime and cost-efficient service.

ATS v Fire Watch: No Downtime, No Fire Watch, No Unnecessary Cost

When fire protection systems falter, healthcare facilities face both safety risks and financial burdens. Fire watch may be a necessary safeguard — but it’s also an expensive one.

A Total Solution helps customers avoid those costs entirely by acting fast, communicating clearly, and completing system repairs and replacements without interrupting protection.

With ATS, facilities don’t just stay safe — they stay compliant, operational, and cost-efficient.

Because at the end of the day, safety shouldn’t come with added expense — and with A Total Solution, it doesn’t have to.

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