Ambulatory Surgery Center (ASC)
60-Bed Houston ASC Preparing for a Licensure Survey
A 60-bed ambulatory surgery center in the Houston area — a named covered facility class under Texas HSC Chapter 331 — faced an upcoming licensure survey and was unsure whether its workplace violence prevention documentation would hold up. Leadership had a binder, but no one could confirm it answered what a surveyor would ask.
Illustrative scenario
The following are illustrative “representative engagement” scenarios that show how VIGILO approaches common compliance situations. They are composite examples, not accounts of specific clients. They contain no named facilities, no client logos, no testimonials, and no performance metrics, and they describe compliance and survey-readiness work — not guarantees of safety or violence prevention.
The compliance gap
What the assessment surfaced
A Survey-Readiness Audit found a workplace violence prevention plan that was generic rather than facility-specific, a committee roster missing a security-services representative, and no documented annual plan evaluation reported to the governing body — the single most overlooked Chapter 331 step.
The engagement
What VIGILO delivered
VIGILO delivered the scored gap report, then built a facility-specific written plan, reconstituted the committee charter with compliant role appointments, and assembled a survey-ready documentation binder organized the way a surveyor reads it. Annual employee training was scheduled to the statutory cadence and documented in the survey file.
The outcome
A documented, survey-defensible program
The ASC entered its survey window with a facility-specific plan, a compliant committee of record, dated training documentation, and an annual evaluation prepared for its governing body — a documented program that maps cleanly to HSC Chapter 331. VIGILO supports survey-readiness; it does not guarantee a survey result.
Services in this engagement
How the work maps to our services
Every illustrative engagement is assembled from the same flat-fee services any covered facility can request. This scenario drew on the following.
Survey-Readiness Audit
A scored gap report against the Chapter 331 / 26 TAC §133.55 / PL 2024-10 / Joint Commission checklist.
Flat fee · $500–$1,500
Details →Workplace Violence Prevention Programs
The complete, facility-specific program of record — committee, plan, training, and binder.
Flat fee · $2,500–$6,000
Details →Policy & Plan Development
The facility-specific written plan plus reporting, anti-retaliation, and post-incident policies.
Flat fee · scoped per engagement
Details →Healthcare Staff Training
Instructor-led training tied to the statutory annual cadence and documented for your survey file.
$1,500–$2,500 / training day
Details →See more illustrative scenarios across every covered-facility class on the representative engagements overview →
See where your program stands
A Survey-Readiness Audit scores your committee, plan, training, and governing-body reporting against Chapter 331, the Joint Commission, and OSHA — in one document. VIGILO supports survey-readiness; it does not guarantee a survey result.