Behavioral Health Accreditation Compliance

Behavioral Health Accreditation Compliance

Comprehensive Environment of Care Risk Assessments

  • Ligature risk assessment
  • Safety (patient & employees)
  • Security
  • Elopement


  • Fire
  • Active shooter
  • Emergency Management
Develop plans that meet or exceed TJC, DNV and CMS criteria

Emergency Preparedness

  • Pandemic response/infection control mitigation
  • Surge/evacuation
  • Natural disaster readiness and response
  • Emergency communications
  • Assist with 1135 waiver submissions and acceptance
AHJ Survey Readiness and Support (Environment of Care)
Before Survey
  • Thorough Environment of Care Mock Survey
  • Provide pathway to compliance reports
During Survey
  • On-site support
  • Virtual support
Post Survey
  • Assist with official response and Plan of Correction (POC)
  • Assist in developing education and training triggered by POC
  • CMS time limited waivers submissions

Design Support (remodel or new construction)

  • Assist facility in the behavioral health design phase
  • Work with Architectural or design teams on the facilities behalf
  • Provide oversite and support during construction or remodel projects