Life Safety Code and physical environment deficiencies are among the most frequently cited findings in Healthcare facilities. Nearly all of them come down to maintenance, documentation and knowing what a surveyor is trained to look for.
What the mock survey covers
- Full Life Safety Code (NFPA 101) and physical environment assessment of every space
- Fire and smoke barriers, rated door assemblies, means of egress, exit signage and emergency lighting
- Emergency power, fire alarm, sprinkler, medical gas, HVAC and electrical systems
- Environment of Care, emergency management and hazardous materials review
- Documentation review against CMS Conditions and your accrediting organization's standards
- Staff interview preparation: what surveyors ask and how your team should answer
What you receive
A prioritized findings report organized by standard, with photographs, the applicable code reference, and a recommended corrective action for every item. The report is written so it can be used directly as the basis for a plan of correction and tracked through to closure.
When to schedule one
- Twelve to six months before an expected CMS or accreditation survey window
- Before an initial certification survey for a new facility or addition
- After a change in facilities leadership or a vendor transition
- Annually, as the baseline for a quarterly compliance partnership
Frequently asked questions
One to two days on site depending on square footage and the number of buildings, followed by the written findings report.