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Services

Everything an accrediting organization looks for in your Life Safety compliance.

From a one-time mock survey to a standing quarterly partnership.

01

Mock CMS Life Safety Survey

We assess your facility the way a surveyor will, then deliver a findings report you can act on.

  • Full Life Safety Code (NFPA 101) and physical environment assessment
  • Emergency power, fire alarm, sprinkler, medical gas, HVAC and electrical systems
  • Documentation review against CMS Conditions and accreditor standards
  • Staff interview preparation
  • Prioritized findings and plan of correction
Learn more about Mock CMS Life Safety Survey →
02

Quarterly Compliance Rounds

Scheduled visits that keep the building and your documentation survey-ready all year.

  • Follow-up on every open item
  • Life Safety rounds: door assemblies, fire and smoke barriers, corridors, storage
  • Inspection, testing and maintenance log audits for every building system
  • Quarterly summary for your governing body and Environment of Care committee
Learn more about Quarterly Compliance Rounds →
03

Documentation & Logs

Most citations are documentation citations. We keep the right record in the right place.

  • Compliance binder organized by standard
  • Inspection, testing and maintenance schedules for every system
  • Vendor report review
  • Fire drill and emergency management records
Learn more about Documentation & Logs →
04

Vendor Management

Fire protection, generator, HVAC and medical gas vendors on schedule, with compliant documentation.

  • Inspection and testing calendar: monthly, quarterly, semi-annual, annual
  • Scheduling around patient care and case load
  • Scope verification and report review
  • Deficiency follow-through to closure
Learn more about Vendor Management →
05

Remote Consulting

A facilities and compliance expert on call.

  • Phone and email support for a defined term
  • Guidance during an active survey
  • Review of vendor proposals, renovation plans and Interim Life Safety Measures (ILSM)
Learn more about Remote Consulting →
06

Plan of Correction

Received a Statement of Deficiencies? We help you respond, correct the findings and clear the revisit survey.

  • Plan of correction that meets CMS and accreditor requirements
  • Corrective work and vendors coordinated
  • Verification walk-through before the revisit survey
Learn more about Plan of Correction →

Standards we work to

CMS Conditions of Participation & Coverage

Surveying to all Life Safety requirements for CMS.

NFPA 101 & NFPA 99

Life Safety Code and Health Care Facilities Code, 2012 editions as adopted by CMS.

Accrediting organizations

The Joint Commission, AAAHC, DNV, CIHQ, QUAD A, ACHC.

State licensure

TX, IA, MO, AR and OK state standards.

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