Hospitals must comply with Centers for Medicare and Medicaid Services (CMS) conditions of participation (CoPs) or face penalties. According to CMS and accrediting organizations such as Der Norske Veritas and The Joint Commission (TJC), one of the most commonly cited deficiencies at the immediate jeopardy level is about the rights of patients to receive care in a safe setting. According to CMS, ligature risks compromise a patient’s right to receive care in a safe setting. The hospital’s responsibility to provide care and safety to psychiatric patients at risk of harm to themselves or others is one of CMS’ primary concerns. This webinar will explain the specific guidance surveyors use to determine compliance with providing care in a safe environment.