Dr. Joe Fullington
Healthcare Facilities Compliance & Executive Advisory
Healthcare Facilities Compliance & Executive Advisory
How I Can Help You
Healthcare Facilities Compliance. Executive-Level Readiness.
I help healthcare organizations prepare for CMS, Joint Commission, NFPA, and AHJ surveys by identifying risk, strengthening compliance systems, and ensuring facilities teams are survey-ready—without disrupting daily operations.
20+ years of executive leadership across healthcare, higher education, and engineering.
[Request a Consultation]
WHO I HELP
I work with healthcare organizations that need clarity, confidence, and readiness—before a survey becomes a crisis.
Clients include:
- Community hospitals
- Surgery centers
- Behavioral health facilities
- Specialty clinics
- Small to mid-sized health systems
If your organization is preparing for a survey, responding to findings, or strengthening facilities compliance, I can help.
SERVICES
Healthcare Facilities Compliance & Survey Readiness
A structured, executive-level assessment of facilities operations, life safety systems, and compliance programs.
Scope includes:
- Environment of Care & Life Safety assessments
- CMS & Joint Commission readiness reviews
- NFPA and AHJ compliance evaluations
- Documentation review (EOC, LS, ILSM, PM, Emergency Preparedness)
- Risk prioritization and corrective action planning
- Executive leadership debrief
Deliverables:
✔ Executive summary
✔ Risk matrix with priority actions
✔ 30/60/90-day compliance roadmap
✔ Leadership briefing (virtual or on-site)
Mock Surveys & Compliance Recovery
Prepare your team for real-world survey conditions.
- Mock Joint Commission and CMS surveys
- Identification of high-risk vulnerabilities
- Immediate corrective action guidance
- Leadership coaching during survey preparation
WHY WORK WITH ME
- Former Director of Enterprise Facility Services for major healthcare systems
- Led compliance programs across 3+ million square feet
- Extensive experience with CMS, Joint Commission, NFPA, AHJ, OSHA
- Background in engineering, facilities, and executive leadership
- Ed.D. and MBA—bridging operations, compliance, and strategy
I provide practical, risk-based guidance—not theory, not templates, and not guesswork.
Core Engagements
• Surgery center / small facility:
• Hospital or multi-site outpatient:
Add-On Services
• Mock survey:
• Documentation cleanup and remediation:
• Ongoing advisory retainer:
Entry Offering (Easy Yes)
• 90-minute virtual compliance assessment:
About Us
Why you should choose us
I am a facilities and compliance executive with more than 20 years of experience leading complex healthcare and higher education environments. My career spans executive facilities leadership, engineering, accreditation readiness, and academic administration.
My approach is collaborative, practical, and grounded in real-world operations—helping organizations reduce risk, strengthen compliance, and maintain operational continuity.
I Am Here to Help
CONTACT / CALL TO ACTION
Preparing for a survey? Concerned about compliance risk?
Let’s have a confidential conversation.
📞 262-344-8414
✉️ fullingtonjn@gmail.com
[Request a Consultation]