Accreditation and Regulatory

A woman with long blonde hair wearing a black jacket.
Play Video

How I Can Help

As a former 12-year Joint Commission home care and hospice surveyor, a ten-year education faculty member to the public-at-large for The Joint Commission, and a mock surveyor for over 25 years for accrediting bodies (TJC, CHAP, and ACHC), Mary’s 100% track record and wealth of home care and hospice knowledge, experience, and detail-orientation will guide you through a successful survey outcome.

On-site Home Health, Hospice, Home Infusion, or Private Duty (Home Care) Mock Surveys:
  • Mock surveys against TJC, CHAP, and ACHC’s standards, state licensure regulations, and the Medicare Home Health and Hospice Conditions of Participation (CoPs)


Virtual Home Health, Hospice, Home Infusion, or Private Duty (Home Care) Mock Surveys: 
  • Get ready for “focused,” interactive, and educational mock survey activities. First, pick the length of time and which mock survey activities you’d like to be conducted
  • Be prepared to demonstrate how your home health, hospice, home infusion, or private duty (home care) agency complies with accreditation standards, state licensure regulations, or the home health and hospice CMS Conditions of Participation. These mock surveys activities may include:
    • Reviewing quality assessment and performance improvement (QAPI) data and other key documents and data
    • Conducting patient record reviews before submission to an intermediary or review by a surveyor
    • Reviewing competence assessment documents and other documents in personnel records
    • Conducting checks on trunks and nursing bags, including medical waste storage
    • Conducting staff and leadership interviews


Virtual Consulting Services:
  • Need help following an accreditation, state, or federal survey, especially with a Conditional CMS or another adverse survey outcome? 
    • How to regain compliance and have a successful survey outcome
    • “Ghostwrite” plans of correction
  • Want staff or leadership education? Topics may include:
    • How to avoid being cited for the top 10 problematic standards for accredited home care organizations
    • How to avoid being cited for the top problematic home health and hospice standards under the CMS Conditions of Participation
    • How to comply with The Joint Commission home care and hospice standards, including the National Patient Safety Goals
    • Answer compliance questions by e-mail or phone

Questions? Need more information?

Please contact me and I’d be happy to help.

Shopping cart0
There are no products in the cart!
Continue shopping