Prepare & Manage

Regulatory &
Facilities Services

We help your facility meet rigorous regulatory standards, reducing penalties and fostering a safe environment.

Ensure Top Performance for Your Facilities

We specialize in providing comprehensive regulatory and facilities management services, creating a focused emphasis on operational readiness to minimize risk to our client’s organizations and ensure patient and staff safety. Our team brings a wealth of experience and a personalized style to each challenge, helping you to navigate complex regulatory environments, providing education, and boosting your facility’s performance.

Let’s work together to keep your facility safe for everyone who walks through your doors.

We Optimize Your Facility's Operational Readiness and Compliance

Maximize Value and Minimize Risks

We Help You Focus On What Matters
We do it all, so you spend less time worrying about compliance and gain more peace of mind knowing your facility is in good hands.

We Detect Potential Risks
We analyze and turn your potential risks into areas of strength which safeguards your operations and, more importantly, your patients and staff.

How We Work

Strategy Designed to Keep You Compliant

We holistically commit to maintaining a constant state of regulatory readiness for our clients. Our regulatory and facility support services cover all phases of the compliance process. From detailed pre-survey preparation and  live survey support to thorough post-survey remediation, we make sure every aspect of your operations aligns with the highest standards.

Amplify Your Compliance and Operational Readiness

Navigating regulatory landscapes and maintaining operational readiness are pivotal to minimizing risks and making sure patients and staff are safe. Connect with us to discover how we can fortify your compliance strategies, mitigate risks, and form a foundation for a safer, more efficient facility.

Our Core Services

Regulatory & Facilities Tailored to Your Success

We craft our core services to heighten operational efficiency, ensure compliance, and foster a safer environment for patients and staff.

Let us bring our expertise to your facility, demonstrating the remarkable difference our dedicated and experienced team can make.

Navigating Regulatory Landscapes

Regulatory Accreditation & Compliance Services

We ensure you are compliant with all relevant regulatory regimes and prepared for regulatory body assessments. We have years of  experience working with government officials such as The Joint Commission, The Department for Public Health, and Det Norske Veritas. Our services result in cost avoidance and continued payment for government-insured patients while helping you avoid high-severity findings.

Our team can help with:

  • Comprehensive Regulatory Evaluations
  • Corrective Action Plans
  • Document Review
  • Inspection & Support Response

Biomedical & Clinical Engineering

Healthcare Technology Program Management

We elevate your facility’s biomedical and clinical engineering capabilities by prioritizing regulatory compliance, cost efficiency, and comprehensive advisory services. We use a robust approach to managing your medical service agreements (MSAs), ensuring standardization across operations. Our goal is to strengthen the operational effectiveness of your healthcare technology management, contributing to patient safety and financial savings. 

Our team can help with:

  • Inventory Assessment
  • Contract Administration

Emergency Management Services

Response & Process Management

We employ proactive planning to keep your critical functions operational during and after disruptive events. Business continuity compliments the emergency response and recovery phases in the emergency management cycle.  Proper business continuity planning helps minimize losses from interruptions by keeping the business running. 

Our team can help with:

  • Emergency Management Planning
  • Incident Response
  • Resiliency Planning

Enhance Operational Efficiency

Facility Management Support

We partner with Facilities Management to support and optimize the utility, infrastructure, and physical plant functions by ensuring reliability, redundancy, and reducing unplanned downtime. The outcome results in a more proactive and less reactive Facilities Management program.

Our team can help with:

  • Preventive Maintenance Tasking and Scheduling Assessment
  • Asset Risk Ranking
  • Standardized Forms, Template, Resource Library, and processes that meet CMS, TJC, and DNV Requirements

Our Full List of Services

  • Comprehensive Regulatory Evaluations
  • Corrective Action Plans
  • Document Evaluation
  • Inspection & Support Response
  • Inventory Assessment
  • Contract Administration
  • Emergency Management Planning
  • Incident Response
  • Resiliency Planning
  • Work Order Management
  • Enhanced Facility Condition Assessments
  • Fire and Smoke Door Surveys

Advantages of Working with Us

We’re all about making your day-to-day easier and your operations run smoother. By helping you stay on top of regulations, reducing unnecessary costs, and preparing you for the unexpected, we’re here to support you through it all.

Compliance & Safety

We help your facility meet rigorous regulatory standards, reducing penalties and fostering a safe environment. Our guidance smooths compliance processes, augments safety measures, and effectively prepares you for accreditation assessments.

Efficiency & Cost Reduction

Our approach optimizes technology use and facility operations, significantly saving costs. We boost your financial performance and operational productivity by improving resource management and standardizing operations.

Continuity & Risk Management

Our emergency management services are essential for keeping critical functions running during disruptions. Our planning minimizes operational losses and leads to quick recovery, maintaining operational continuity and stakeholder trust under any circumstances.

Success Story

Through the Chaos: Cref’s Regulatory Program Provides a “Constant State of Readiness”

The Challenge

In June 2021, Cref was given a 90-day preparation period to ready 5 newly acquired hospitals for a reaccreditation survey, a program that typically takes 6-12 months. With 1 survey already overdue, and 2 imminent, the risk was high, and action was needed—quickly.

To further complicate the situation, these 5 new sites also had to transition their computerized maintenance management system (CMMS) to another version amid the acquisition.

The Solution

With a compressed timeline, Cref immediately deployed a team prior to closing to prepare on-site staff, review documentation, complete a full life safety and environmental audit of the buildings, and develop a plan to remediate any risks. 

Throughout the survey process, Cref provided physical on-site support, weekly reports on open and closed items and was instrumental in challenging—and ultimately correcting—one of their findings during the clarification process, a rare occurrence within The Joint Commission.

Our Value

Cref mitigated 1,044 findings identified during the initial life safety and environmental audit, across the 3 hospital locations and wrote a corrective action plan within the 90-day timeline. 

At the Triennial Re Accreditation Survey, The Joint Commission found only 7 low-limited level findings at 2 of the sites in total. In contrast, the other site had 12 moderate-to-low limited findings, an improvement from 2 serious condition level findings in the previous survey.

Through Cref’s regulatory program and our proprietary software platform, the survey was a success. Our services eliminated the need for resurvey, resulted in a positive reputation for our client—cited publicly, allowed for less serious deficiencies—meaning less business interruption, allowed for zero unforeseen costs, reduced premium labor costs, and improved patient safety, experience,and quality of care.

Explore Our Integrated Services

Planning, Design & Construction

Our team of experienced professionals provides all levels of support with capital planning and projects, helping our clients save time and money and remain focused on their business.

Real Estate

We have a diverse group of interdisciplinary experts to implement a long-term, scalable real estate strategy, all to create non-transactional, best-in-class experiences for our partners.


We bring an environmentally responsible approach to everything we do to make sure our buildings and those inhabiting them are safe and secure.

Ready to Benchmark Your Facility's Performance?

Don’t miss the opportunity to gain valuable insights into your facility’s current operational status. Book a benchmark assessment with one of Cref’s experts today. Let us guide you toward operational excellence.