New BriefingThe A360 Top 25 Survey Findings, decoded for the new Physical Environment chapters.Download the deck (PDF)
Healthcare Compliance  /  Survey Readiness

Survey-ready
every day.

Surveys don't announce themselves. Oncore keeps your facility continuously ready across JC, DNV, and CMS, so when surveyors walk in, the work is already done.

JCDNV NIAHOCMS CoPsOSHANFPALife Safety
25Top survey
findings decoded
The Challenge

Readiness is earned long
before survey day.

JC, DNV, and CMS surveys are among the highest-stakes events a healthcare organization faces. Oncore closes the gaps surveyors look for, drawing on a team that has worked directly inside JC, OSHA, and EPA.

Passing a single survey is the easy part. The harder and more valuable work is building compliance systems your staff can sustain long after we leave.

Stakes
What a failed survey puts on the line
01
ReimbursementsMedicare and Medicaid funding tied directly to compliance.
02
LicensureYour facility's authority to keep its doors open.
03
Patient trustA reputation that took years to earn.
JC
Joint Commission PreparednessEnvironment of Care, Life Safety, Infection Control, and full clinical compliance readiness.
DNV
DNV NIAHO AccreditationISO-based quality management alignment and annual survey cycle preparation.
CMS
Conditions of ParticipationVerification that operations satisfy the federal standards governing Medicare and Medicaid.
What We Do

Accreditation services,
start to survey.

01
JC Preparedness
Full mock surveys and gap analyses covering Environment of Care, Life Safety, Infection Control, and Clinical Compliance, modeled on the exact standards JC surveyors score against.
02
OSHA, CMS, NFPA & Hazardous Waste Compliance Audits
Compliance audits that measure your facility against every agency with authority over it, from the accreditation bodies to OSHA, CMS, and NFPA.
03
Life Safety Code Evaluations
Building and fire code analysis including NFPA 101 compliance, fire protection system evaluations, and Life Safety drawings review, conducted by staff with direct agency experience.
04
Fire Protection System Evaluations
Thorough review of fire suppression, detection, and notification systems against applicable NFPA standards, Life Safety Code requirements, and accreditation body expectations.
05
Statement of Conditions (SOC) Review
Review of your JC Statement of Conditions documentation and active corrective action plans, with prioritization guidance and resolution tracking to close out findings before survey day.
06
Healthcare Risk Management & Policy Development
Development and review of healthcare risk management frameworks and facility policies aligned to current accreditation standards, CMS CoPs, and regulatory requirements.
Life Safety

How does your facility approach life safety?

Many facilities treat their life safety drawings as a document filed away after construction. We treat life safety as an ongoing discipline.

Our full-scale approach begins with accurate documentation and extends into the physical environment. The work continues past the drawings, where our team executes a complete life safety verification:

  • Verifying the drawings are accurate and complete.
  • Confirming everything in the building is where it should be.
  • Reviewing the facility for life safety deficiencies.

Accurate documentation requires precise architecture. We partner with LDC International to produce the life safety drawings. LDC International provides the architectural foundation, and Oncore provides the full-scale verification around it.

FIG. 01 — Architecture PartnerSHEET A-001 · REV. 1
LDC International Inc.Architecture Partner

More than 25 years designing healthcare environments.

Board certified by the American College of Healthcare Architects — one of only 27 architects in Florida with a healthcare specialty designation. A 99% AHCA Stage III approval rate, with ICRA plans AHCA has used as reference examples.

25+
Years in healthcare design & construction
1 of 27
ACHA board-certified architects in Florida
99%
AHCA Stage III approval rate
Principal in ChargeAntonio J. Amadeo, AIA, ACHA, CHID
Visit LDC International →
Environment of Care

A survey is a snapshot of how your facility runs on an ordinary day.

A360
New Briefing

New A360: the Top 25
survey findings, decoded.

Accreditation 360 folds the former Environment of Care and Life Safety standards into the new Physical Environment chapters. We pulled the 25 most-cited findings from 2025 Joint Commission surveys and mapped each old citation to its new PE code, so the work you've already done carries forward.

Four focus areas
01
Environment of Care and Cleanliness
02
Utility and Power Systems
03
Fire and Life Safety
04
Hazardous Materials and Programs
Finding 01/Environment of Care
Interior Spaces Safe and Suitable
WasEC.02.06.01 EP 1
NowPE.01.01.01 EP 1

Stained ceiling tiles, peeling paint, wall holes, and unsecured carts of sharps across patient rooms, ORs, and corridors.

Finding 03/Environment of Care
Clean Environment, No Odors
WasEC.02.06.01 EP 20
NowPE.01.01.01 EP 3

Dust on equipment, vents, and high and low surfaces, plus growth around drains, where surveyors score every soiled item.

Finding 02/Utility Systems
Utility Systems Control Labels
WasEC.02.05.01 EP 9
NowPE.04.01.01 EP 1

Unlabeled shutoff valves for oxygen and gas, and panels with incomplete or incorrect legends that slow an emergency shutdown.

Finding 08/Utility Systems
Power Strips in the Patient Vicinity
WasEC.02.05.01 EP 23
NowPE.04.01.01 EP 1

Power strips within six feet of the patient must be UL 1363A or UL 60601-1 and permanently affixed to the device they serve.

Finding 05/Fire and Life Safety
NFPA Automatic Extinguishment
WasLS.02.01.35 EP 14
NowPE.03.01.01 EP 3

Blocked extinguishers and sprinkler heads, unsealed fire-rated penetrations, and IT cabling resting on sprinkler piping.

Finding 20/Hazardous Materials
Hazardous Chemical Management
WasEC.02.02.01 EP 5
NowPE.02.01.01 EP 4

Missing safety data sheets, unlabeled secondary containers, overfilled sharps, and blocked or untested eyewash stations.

Full Briefing · PDF

All 25 findings, old code to new.

The complete deck covers every former EC or LS citation, its new PE equivalent, and what surveyors actually found in the field. View it in your browser or download a copy.

Who We Serve

Facilities that can’t
afford to guess.

Some facilities are preparing for a first survey. Others are recovering from a difficult one, or switching accreditation bodies mid-cycle. Oncore starts with an honest read of where your program stands and builds the plan from there.

Acute care hospitals & health systems
Critical access hospitals
Ambulatory surgery centers (ASCs)
Military medical facilities
Facilities transitioning from JC to DNV
Organizations following a CMS action plan
New facilities seeking initial accreditation
Ready
Oncore Experience
We've sat on
both sides of the table.

Our consultants have worked directly inside JC, OSHA, and EPA, so we know how surveyors think, what they look for, and where unprepared facilities get caught. It’s a perspective most compliance consultants simply don’t have.

Schedule a Call →
Expertise
Why Oncore

An insider's edge
on every survey.

01
Experience From Inside the Agencies
Our team has worked directly with JC, OSHA, and EPA, giving us the perspective of the surveyor, not just the surveyed. We know what gets cited because we've done the citing.
02
Multi-Standard Expertise
JC, DNV, CMS, OSHA, NFPA: most facilities answer to several of these at once. Oncore reconciles their requirements so a fix for one body never creates a finding for another.
03
Built for Continuous Readiness
We help organizations fold compliance into daily operations instead of scrambling in the weeks before a survey. The goal is a facility that could pass on any given day.
OnCompass

Track every finding
from field to fix.

OnCompass lets Oncore surveyors log findings on-site and gives your team a live dashboard to review, prioritize, and close them out. Readiness scores update in real time across every standard domain.

Launch OnCompass →
Readiness Overview
84% Ready
Environment of Care
92%
Life Safety
76%
Infection Prevention and Control
88%
Emergency Management
71%
Human Resources
95%

Survey on the
calendar?

Send us your timeline, your accreditation body, and the areas you’re least sure about. We’ll scope an engagement that gets you ready and keeps you there after the surveyors leave.