Assess · The fastest way to know where you stand
Workplace Violence Survey-Readiness Audit
A Survey-Readiness Audit is the lowest-commitment way to find out whether your workplace violence prevention program would hold up under survey. VIGILO scores your facility against a single checklist that merges every standard you must meet — Texas HSC Chapter 331, 26 TAC §133.55, HHSC PL 2024-10, the Joint Commission, and OSHA — and hands you one document with prioritized findings.
You receive a scored gap report, a prioritized findings list (compliant, missing, urgent), a clear next-step recommendation, and a plain-language summary you can take to your CEO, CNO, risk manager, or governing body. It is the wedge engagement: fast, flat-fee, and designed to tell you exactly what your facility needs next.
The audit is a diagnostic, not a sales trap and not a security-staffing pitch. If your program is already survey-defensible, we tell you. VIGILO is a compliance, training, and consulting firm — full stop.
What you receive
What the engagement includes
Every deliverable is documented the way a surveyor reads it — and assembled to drop straight into your survey-readiness binder.
Scored gap report
Your program measured against Ch. 331, 26 TAC §133.55, PL 2024-10, TJC, and OSHA in one document.
Prioritized findings list
What is compliant, what is missing, and what is urgent.
Covered-status confirmation
Facility class plus the two-or-more-RN trigger for nursing facilities and HCSSAs.
Clear next-step recommendation
Foundation Package, Annual Subscription, or gaps to close internally.
Executive-ready summary
A plain-language brief for your CEO, CNO, risk manager, or governing body.
Speaking the language of surveyors
The six questions a surveyor will ask — answered
Surveyors follow a tracer: they pull the thread from policy to plan to committee to training to record to corrective action. This module is organized around exactly what they ask, what they review, and what gets a facility cited.
What surveyors ask
- Show me your written, facility-specific workplace violence prevention plan — when was it adopted?
- Who is on your committee, and can you prove the required member categories with appointment records?
- Show me committee minutes and the annual plan evaluation reported to your governing body in the last 12 months.
- Show me records that staff were trained at least annually, including agency and per-diem staff.
- How do employees report confidentially, and where is your anti-retaliation language?
What surveyors review
- The written WVP policy and plan, the committee roster, and twelve months of minutes.
- The annual plan-evaluation record and proof it was reported to the governing body.
- The confidential reporting and anti-retaliation policy.
- Annual training rosters reconciled against the full employee and contracted-staff census.
- Post-incident response records and the incident log.
Required documentation
| Document | Why surveyors want it |
|---|---|
| Written facility-specific plan + adoption date | On or before Sept. 1, 2024, or facility licensure date if later |
| Committee charter, appointment letters, roster | Verifies the RN, physician, and security-services categories |
| Trailing-12-month committee minutes | Proves the committee meets and evaluates |
| Annual evaluation + governing-body report | The distinct board-reporting obligation surveyors check |
| Reporting/anti-retaliation policy + training roster | Confidentiality, non-retaliation, and the annual cadence |
Common deficiencies
- A generic template plan that is not facility-specific.
- A committee missing a required member category.
- An annual evaluation done but never reported to the governing body.
- No minutes proving the committee meets and evaluates the plan.
- A reporting policy lacking anti-retaliation or law-enforcement language, or training that is not annual.
How to prepare
- Pull every WVP artifact you have into one place before you measure anything.
- Confirm covered status — facility class plus the RN trigger for nursing facilities and HCSSAs.
- Compare each statutory element against the Ch. 331 / 26 TAC §133.55 / PL 2024-10 checklist.
- Flag the gaps by severity, not just presence or absence, so remediation is prioritized.
- Decide whether to close gaps internally or commission a Foundation Package build.
How VIGILO helps
The Survey-Readiness Audit is the fastest, lowest-commitment way to know exactly where your program stands. VIGILO scores your facility against a single checklist that merges every standard you must meet:
- A scored gap report measuring your current program against Chapter 331, 26 TAC §133.55, PL 2024-10, the Joint Commission, and OSHA — in one document.
- A prioritized findings list: what is compliant, what is missing, and what is urgent.
- A clear next-step recommendation — Foundation Package build, Annual Subscription, or a short list of gaps to close yourself.
- A plain-language summary you can take to your CEO, CNO, risk manager, or governing body.
- A diagnostic, not a sales trap — if your program is in good shape, we tell you.
Primary sources
Sources: Texas Health & Safety Code Chapter 331 (SB 240, 88th Leg., 2023); 26 TAC §133.55; HHSC Provider Letter PL 2024-10; The Joint Commission Workplace Violence Prevention requirements (effective Jan. 1, 2022 for hospitals); OSHA General Duty Clause §5(a)(1), OSHA Publication 3148 and CPL 02-01-058.
Where this fits
Related services
Every VIGILO engagement maps to the same surveyor-fluent framework, so the pieces fit into one connected program of record.
Workplace Violence Prevention Programs
The complete, facility-specific program of record — committee, plan, training, and binder.
Flat fee · $2,500–$6,000
Details →Mock Surveys
A rehearsed tracer survey with a scored findings report on your timeline, not the surveyor’s.
Flat fee · scoped per engagement
Details →Citation-Remediation / Rapid Response
Plan-of-correction support and documentation reconstruction when you are days from a deadline.
Flat fee · $2,500–$5,000
Details →Tuned for your facility: Hospitals, Ambulatory Surgery Centers (ASCs), Long-Term Care & Nursing Facilities. See all facilities →
Survey-Readiness Audit FAQ
Frequently asked questions
What is a workplace violence survey-readiness audit?
It is a scored gap report that measures your existing workplace violence prevention program against every standard that applies to your facility — Texas HSC Chapter 331, 26 TAC §133.55, HHSC PL 2024-10, the Joint Commission, and OSHA — in a single document. It tells you what is compliant, what is missing, and what is urgent, with a prioritized path to close the gaps before a surveyor finds them.
How much does a Survey-Readiness Audit cost and how long does it take?
The audit is a flat fee of $500–$1,500 depending on facility size and complexity. It begins with a short intake — no documents required to start — followed by a scoped review and a delivered scored report. It is the wedge engagement: low-commitment, fast, and designed to tell you exactly what your facility needs next.
What does the audit tell me to do next?
You receive a clear recommendation tied to your findings — typically a WVP Foundation Package build if you are starting from scratch or have material gaps, an Annual Compliance Subscription to carry the statutory annual cadence, or a short list of gaps you can close internally. If your program is already survey-defensible, we say so.
Is the audit a sales pitch for security staffing?
No. VIGILO is a compliance, training, and consulting firm — we do not provide or sell security staffing, guard, or patrol services. The audit is a diagnostic of your documentation and program, not a path to a guarding contract.
Find out exactly where your facility 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.