to main content Contracted Services - Applicability to Joint Commission Standards | Assisted Living Community | Leadership LD | The Joint Commission
Contracted Services - Applicability to Joint Commission Standards

Do the standards for contracted services apply if the contracted organization is Joint Commission accredited or certified?

Any examples are for illustrative purposes only

Yes, accredited organization's are expected to demonstrate compliance with all accreditation or certification requirements for their respective program. In general, the contractual agreements that are reviewed during survey are those that relate most directly to resident safety, care, and treatment (see also LD.04.03.09 and HR.01.02.07).  Contracts that relate to other support issues (lawn care, snow removal, and plant technology maintenance) are lower priorities during survey.

Contractual agreements must give the accredited organization's the right to enroll the direct care and support contract employees into the orientation, competency assessment, on-going education, performance evaluation, health screening, and emergency and fire prevention programs that are established by the organization. To these ends, the contracted service/agency/vendor deploys properly trained and credentialed staff and materials. The compliance of all staff, including contracted staff must be documented but this documentation may reside with the employer.   

The accredited organization policies and procedures must be followed by all staff, even if the contract company does not have comparable requirements.  For example, if the organization or the local government or public health entity requires tuberculosis testing and the contract company does not, the contract staff must comply with tuberculosis screening.  The screening can be done by the contractor or by the accredited organization and must be documented.  

Manual: Assisted Living Community
Chapter: Leadership LD
First published date: April 11, 2016 This Standards FAQ was first published on this date.
This page was last updated on October 26, 2021
Was this response helpful?

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form

Get Extra Help with Books and E-books

Browse our gallery of books and e-books to find trusted prep and readiness resources, practical checklists and toolkits, and resources on specialized health care topics.

Stay Informed with Online Education

Online education is the most convenient and cost-effective way to educate your staff and minimize expenses without the need to leave your organization.

Reach Your Safety Goals with eProducts

Assessing and sustaining compliance with accreditation standards or CMS CoPs can be a challenge, but it doesn’t have to be. Rely on our proven software solutions developed by our team of industry experts.

Can't Find What You're Looking For?

If you do not find an answer to your question, please contact the Standards Interpretation Group (SIG).

Note: To provide adequate support to those organizations that are either accredited/certified or seeking accreditation/certification, we will only answer those questions submitted by those organizations seeking accreditation/certification or currently accredited/certified by the Joint Commission. The Joint Commission no longer answers questions submitted by students or vendors. Thank you for your understanding.