Quote from canoehead
I thought my current hospital wouldn't pass JCAHO, but they got an exceptionally high rating, and posted it for the public to see. I think it's a schmoozing contest, with no real life consistency among hospitals. I've worked somewhere that changed their rules "because JCAHO said so" but two other hospitals in the same area didn't have the same rule- no drinks at the nurses station, for example. Only one out of five American hospitals I worked at, in the ten years I was there, had the no drinks rule, but they were RABID about it. I resigned within 6 months on that one because I require water to function.
The requirement is actually no UNCOVERED drinks at the nurses' station.
Or, what Double Helix said above, sorry!
What I've found is that every JC person has their own little things they nitpick at, and what they find, another JC person might not look twice at. It's often influenced by their background (for example, a JC person who used to be an IC nurse is going to look very closely at the facility's handy hygiene statistics, see if the facility has any current QI projects in place to manage hand hygiene, etc, and another person might just give that stuff a cursory glance).
I've learned that you just gotta play the game. Some things are non-negotiable all the time. Some things, you do while they're here because that's what they're expecting, and because it's silly, you let it go after they leave.