CMS and TJC Survey Readiness

Safety University's accreditation and compliance consultants are experienced Environment of Care (EOC) and Life Safety surveyors who are chosen by SafetyU because of their technical knowledge and coaching skills. They are not just mock surveyors. We share your goal of achieving compliance, so our focus is not just on conducting a survey, but on providing the consultative advice necessary to implement and monitor compliance on a continuous basis.

Through our Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMS) mock surveys, we help your organization prepare for an unannounced accreditation or regulatory survey and strengthen your internal resources to maintain a culture of continuous EOC/Life Safety readiness.

We can survey to your accreditation body or concentrate solely on compliance with the CMS CoPs. Surveys are customized to the needs of the healthcare facility (e.g. hospital, home health & hospice, ambulatory surgery centers, psychiatric hospitals, and critical access hospitals).

At the conclusion of the mock survey, you will receive a verbal exit report, followed by a comprehensive written report organized to facilitate immediate and decisive action in preparing for your upcoming survey, as well as maintaining ongoing survey and regulatory readiness.

The Joint Commission Results*
  • 60% of the top ten noncompliance findings for Ambulatory Health Care were related to the Environment of Care and Life Safety.

  • 100% of the top ten noncompliance findings for Critical Access Hospitals were related to the Environment of Care and Life Safety.

  • 80% of the top ten noncompliance findings for Hospitals were related to the Environment of Care and Life Safety.

* The Joint Commission (2019). Perspectives. September 2019. 39(9)

Safety University is committed to providing actionable deliverables so our healthcare clients can quickly address any deficiencies or areas for improvement.