Environment of Care (EC) Standard EC.02.03.05 addresses how and with what frequency health care organizations need to maintain fire safety equipment and building features. This standard is crucial and worthy of closer scrutiny. This was the number-one most challenging standard in 2014 for surveyed critical access hospitals, with 60% found noncompliant. Many hospitals also struggled with compliance, with 48% of surveyed hospitals found noncompliant with this standard during 2014. This column explains how organizations can ensure compliance with this standard.