The best time for someone
to find it is before the state does.

What a Topsail mock survey actually is

Not a checklist emailed to your DON. A hospice survey readiness or SNF mock survey run the way a real survey is run: entrance conference, record review, home visits or unit tracers, staff interviews, and an exit with findings written in the language your surveyor will use.

• Record review against the Conditions of Participation — hospice 418 or SNF 483 — not a generic audit tool.
• Tracers that follow a real patient from referral through the last visit note, the way a surveyor follows one.
• Staff interviews, because surveyors do not read your policy. They ask your aide what she does, then compare.
• A written exit with each finding tied to the tag it would be cited under, and the evidence a surveyor would have pulled.

Where agencies actually get cited

After twenty years of this, the citations cluster in the same few places, and almost none of them are clinical surprises:

• The comprehensive assessment and the IDG note disagree. The patient declined, the plan of care did not.
• Visit frequency drifts from the plan of care and nobody updates the plan, so every visit after that is technically out of compliance.
• Aide supervision is late. The 14-day visit that happened on day 19 is a tag, no matter how good the care was.
• Hospice eligibility documentation narrates stability. Nothing gets a chart pulled faster than three recerts of “patient continues to do well.”
• Education is documented as attendance rather than competency, so there is no evidence anyone can actually do the thing.

Who this is for

• You are due for survey in the next 90 to 180 days and would like to know now.
• You were recently cited and need to know whether the rest of the building has the same problem. It usually does.
• You are a new operator or new acquirer and inherited a compliance history you did not create.
• You need ongoing eyes on compliance without hiring another full-time salary.

How it works

• Project: a single mock survey with a written report and a prioritized fix sequence.
• Retainer: quarterly mock surveys plus ongoing chart review, so readiness is a habit rather than a scramble.
• Remote or onsite. Licensed across 40+ NLC compact states, plus California and New York.

Who is doing the looking

Topsail Clinical is run by a nurse executive with nearly twenty years in healthcare — bedside to ER to hospice VP — who conducts mock surveys and educates skilled nursing facilities through the Ohio Department of Aging, and has worked inside ACHC, CHAP, and CMS frameworks across multiple states. The perspective is a surveyor’s. The loyalty is yours.