CMS Ligature Risk Policy Clarification

CMS released a Clarification of Ligature Risk Policy to its State Survey Agency Directors on December 8, 2017.  In the interest of making sure the exact wording of this important document is available, the full text of this document is below: … Read more


The Joint Commission has released their recommendations regarding Environmental Perspectives Nov 2017 ligature issues   Hazards for Providers and Surveyors.  In an attempt to get this information circulated quickly, and with concern that the exact wording be communicated, please click on … Read more

Official Announcement from The Joint Commission & CMS on Ligature Issues

August 31, 2017 This email is being sent out on behalf of Mark Pelletier, Chief Operating Officer- Accreditation and Certification Operations  Dear Colleagues: Recently, CMS and The Joint Commission have been in discussions regarding deficiencies related to ligature risk and … Read more

Ligature Attachment Points TJC & CMS

August 24, 2017 Our meeting last Friday at the headquarters of The Joint Commission (TJC) was encouraging, but not definitive.  TJC and the Centers for Medicare and Medicaid Services (CMS) had a high level meeting last week and are working … Read more


August 15, 2017 There has been a lot of discussion and confusion going on the last few months regarding ligature attachment issues with regard to The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). This all … Read more

NASA Deep Space Habitat

James M. Hunt, AIA , President of Behavioral Health Facility Consulting, LLC is honored to be invited to participate as a subject matter expert in a NASA Standing Review Panel to assist with the further development of the deep space … Read more

Patient Bathroom Faucets

Ligature resistant push button operated faucet Lavatory faucets have been difficult to provide safely for many years.  Their basic function is to provide water for patients to use while washing their hands and faces and brushing their teeth.  In behavioral healthcare … Read more

Patient Safety Risk Assessment Tool

The newly released 2014 Edition of the FGI Guidelines for Design and Construction on Health Care Facilities requires that hospitals perform a Safety Risk Assessment of their behavioral healthcare (and other) patient areas.  The related Appendix names the NAPHS Design … Read more

Paper Trash Can Liners – LARGE

Large paper trash can liner After literally years of searching, I have finally become aware of large paper trash can liners that appear to be suitable for use in behavioral health care facilities.  Dining Rooms and other common areas typically … Read more

Patient Toilet Fixture Availability Changes

I have received several messages from readers of the NAPHS Design Guide for the Built Environment of Behavioral Health Facilities in the last few days regarding American Standard Company having changed the designations of their toilet fixtures that are listed … Read more