If you are responsible for electrical safety compliance across more than one nursing home, this page is for you. Regional directors, VPs of operations, plant operations leaders and corporate compliance teams use a portfolio PCREE program to get every building tested to the same standard, with the buildings closest to their next survey scheduled first.

69.6%
of U.S. nursing homes belong to a multi-facility organization
491 of 546
organizations with 5+ buildings had some buildings cited for electrical safety and others not
43.9%
of all nursing homes had at least one electrical safety citation in three years
9.3%
were cited under K921, the PCREE testing tag

Source: CMS Provider Data Catalog, Nursing Homes, Fire Safety Deficiencies and Provider Information (processed October 1, 2026), Life Safety Code surveys from October 2023 through September 2026.

Why multi-facility operators get uneven results

Most organizations don't have a PCREE problem everywhere. They have it in a few buildings. One building has an in-house maintenance director who keeps a clean inventory, another relies on a local electrician who tests outlets but not devices, and a third changed hands last year and nobody can find the last report. Surveyors don't see the corporate average. They see one building at a time, and K921 citations are rated widespread (scope F) 76% of the time, which means a single missing report usually becomes a building-wide finding.

Our analysis of CMS data found that 491 of the 546 organizations with five or more buildings had mixed results. That pattern is the clearest sign that the standard lives with each building's staff rather than with the organization. Read the full analysis: why multi-facility PCREE compliance is inconsistent.

What a portfolio PCREE program includes

Program elementWhat it means for your team
One request for every buildingSend a single list of buildings. You don’t need to collect separate quotes building by building.
Survey-window schedulingWe pull each building’s CMS citation history and estimated survey window from public data, then schedule the buildings with open windows and recent electrical citations first.
One testing standardDevice-level testing to NFPA 99 at every building, with measured ground resistance and leakage current, not just pass/fail. See the sample report.
The same documentation package everywhereEvery building gets the same report format, inventory and failed-device log, so a surveyor at any location sees the same evidence.
Portfolio summary on requestA roll-up of devices tested, failures and next-due dates by building, so corporate teams can see status without opening every report.
Help when a building is citedIf a building receives K921, K914 or K920, we help with the testing evidence your plan of correction needs. Try the plan of correction builder.

How it works

  1. Send your building list. Names and states are enough. CMS certification numbers (CCNs) help if you have them.
  2. Get a risk-ranked schedule. We match each building to its CMS record and rank by survey window, recent electrical citations and bed count.
  3. Testing and documentation, building by building. A qualified biomedical technician tests every patient care electrical device and leaves the documentation package on site.
  4. Stay on cycle. Each building gets a next-due date, and newly acquired buildings can be added as they come in.

Request a multi-facility PCREE program quote

Tell us how many buildings and where. We’ll send back a risk-ranked schedule based on each building’s CMS record and a quote for the whole portfolio.

A program coordinator replies within one business day. We never share or sell your information.

See where your buildings stand first

Before you talk to anyone, you can look up your organization in our multi-facility electrical citation report. It lists every building CMS links to your organization, which ones were cited for electrical safety in the last three years, and which have a survey window open now. Single buildings can be checked with the facility survey-risk lookup.

Buying through procurement?

County nursing homes, state veterans homes and health-system post-acute divisions usually need a written scope of work and vendor paperwork before a purchase order. Our free PCREE procurement packet includes scope-of-work language, minimum vendor requirements and an evaluation matrix you can drop into an RFQ.

Frequently Asked Questions

Can you test buildings in more than one state?
Yes. Programs are scheduled building by building, so a portfolio can span several states. Tell us which states your buildings are in and we will confirm coverage and timing.
Do all of our buildings have to start at once?
No. Most organizations start with the buildings that have an open survey window or a recent electrical citation, then bring the rest onto the same cycle.
What if one of our buildings already has a vendor?
That is common. We can test the buildings that need it now and align the others when their current agreements end, so every building ends up on the same standard and documentation format.
How do you decide which buildings go first?
We use public CMS data: the date of each building’s last standard survey (surveys are due within 15 months), any electrical Life Safety Code citations in the last three years, and bed count. Buildings with an open survey window and a K921 history go first.
Is PCREE testing the same as an electrician’s outlet testing?
No. Receptacle testing (K914) checks the wall outlets. PCREE testing (K921) checks each patient care device: beds, lifts, pumps, monitors, oxygen concentrators and the rest. Surveyors look for both.

About the Author

PCREE Test Editorial Team

Content reviewed by biomedical professionals with experience in patient care electrical equipment testing, NFPA 99 compliance, and CMS Life Safety survey preparation for skilled nursing facilities.