Achieve Accreditation Blog

  • Arely Franco

A Closer Look at Joint Commission Nursing Care Center Standards:


HR.02.01.04-The organization permits licensed independent practitioners to provide care, treatment, and services.

HR.02.01.05- The organization may permit licensed independent practitioners to provide care, treatment, and services on a temporary basis.

HR.02.01.07- Licensed independent practitioners who provide on-call coverage for attending licensed independent practitioners are competent.

HR.02.02.01- The organization provides orientation to physicians and other licensed practitioners.


Before permitting licensed independent practitioners (LIP’s) to provide care, treatment, and services, a skilled nursing organization must determine whether LIP’s are capable of providing residents with high quality care. This is determined through the credentialing process in which the organization obtains, verifies, and assesses the qualifications of the practitioners. The credentialing process is completed prior to allowing the LIP’s to provide care and at least every two years thereafter.


The steps taken during the credentialing process include verifying through a primary source that the licensed independent practitioner is appropriately licensed to practice as required by state and/or federal law, querying the National Practitioner Data Bank (NPDB), and determining if the LIP is privileged at a Joint Commission-accredited organization. The organization thoroughly documents and reviews their findings to determine if the LIP is competent to provide care, treatment, and services.


Skilled nursing organizations are at risk of receiving Joint Commission survey recommendations when proper protocol is not followed, and proper documentation is not kept up to date for each LIP. For instance, common credentialing recommendations include not running the NPDB query, not verifying the LIP’s license through a primary source, and not completing the credentialing reappointment every two years.


Reference: The Joint Commission E-dition (jcrinc.com)



Arely Herrera Franco, MSW, LCSW is a Senior Consultant at Achieve Accreditation. Achieve Accreditation has helped skilled nursing providers and assisted living organizations to obtain and maintain their Joint Commission Accreditation for over 30 years.

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  • Jessica Prucha


Arely Franco is a Senior Consultant celebrating a ten-year career in the health care field. She is passionate about person-centered care and quality of life for residents. Arely has spent her professional career in the skilled nursing industry in advancing leadership roles. She holds a master's degree in Social Work and she is a licensed clinical social worker. Arely began working with Achieve Accreditation in 2017.


Arely’s passion for working with older adults prompted her to work in the skilled nursing industry. She appreciates the opportunity consulting provides to impact the skilled nursing industry on a larger scale by assisting clients in maintaining a safe and supportive environment.


“The nursing home industry is a tight-knit community and it’s amazing to see everyone come together to serve the older adult population,” Arely said. “I feel fortunate to be a part of the community through Achieve Accreditation.”


Arely’s favorite part of working as a consultant is getting to meet a variety of people across different skilled nursing home settings and communities, as well as working on a wide range of projects.


“I enjoy the different projects that I get to work on and the challenges that come along,” Arely said. “They are all unique which gives me the opportunity to continue to develop my expertise in the industry.”


Vice President of Achieve Accreditation Kerri Hackstock appreciates Arely’s detail-oriented approach to working with clients.


“She is not afraid to roll up her sleeves and assist her clients in any way possible,” Kerri said.


Outside of work, Arely enjoys spending time outdoors, reading and listening to podcasts. Her bucket list includes riding in a hot air balloon and seeing the northern lights in Iceland. Arely said spending time with family and friends is the most important thing to her.



Jessica Prucha, BAJ is the Operations Manager at Achieve Accreditation. Achieve Accreditation has helped skilled nursing providers and assisted living organizations to obtain and maintain their Joint Commission Accreditation for over 30 years.

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Effective July 1, 2022, The Joint Commission will be introducing 29 new and 55 revised requirements for the Nursing Care Accreditation Program at The Joint Commission. They will also be releasing 10 new and 4 revised Memory Care Certification requirements.


The requirements address several topics, such as: infection prevention and control, dementia/memory care, staff recruitment, and medication safety. The purpose of these revisions is to ensure the Nursing Care Center and Memory Care Certifications remain scientifically current. These new and updated requirements can be found on the Joint Commission’s Prepublication Standards page of their website.


Achieve Accreditation has been assisting senior living providers with obtaining and maintaining their Joint Commission Accreditation for over 30 years. We can help you fast track the new Joint Commission requirements as a part of your ongoing compliance program.



Kathleen O’Connor, MA is President & Founder of Achieve Accreditation. Achieve Accreditation has helped skilled nursing providers and assisted living organizations to obtain and maintain their Joint Commission Accreditation for over 30 years.

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