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O. BOX 8025 HARRISBURG PENNSYLVANIA 17105-8025 717 772-2570 May 11 2010 Robert Griffith Director Holland Enrichment Center P. O. Box 36 Langhorne PA 19047 License 291460 - Dual Dear Dr. Griffith As a result of the Office of Long Term Living s licensing inspection of the above named facility on 02/22/2010 five 5 areas of non-compliance were identified. Your Plan of Correction has been approved and a copy of the signed Licensing Inspection Summary is enclosed. Your facility has been issued a...
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How to fill out DEPARTMENT OF AGING STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

01
Read the instructions provided with the document carefully.
02
Gather all necessary information regarding the deficiencies observed.
03
List each deficiency clearly, ensuring accurate descriptions.
04
For each deficiency, outline a specific plan of correction, including timelines and responsible parties.
05
Review the document for completeness and accuracy before submission.
06
Submit the completed form to the appropriate department as required.

Who needs DEPARTMENT OF AGING STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION?

01
Healthcare facilities undergoing evaluation by the Department of Aging.
02
Organizations seeking to address identified deficiencies.
03
Administrators and management responsible for compliance with aging regulations.
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People Also Ask about

A Plan of Correction (PoC) is a requirement for all Medicare surveys which documents your plan for compliance with deficient State and/or Federal Regulations.
The plan of correction must state exactly how the deficient practice has been or will be corrected. Identify the systemic changes that will be made to ensure that the problem does not recur. Specify how you will monitor the corrective action.
A well-designed CMS 2567 survey response system and process allows you to monitor the status of individual plans of correction related to particular deficiencies. The status will show with the survey details as well as in reporting tools that give you insight to task status.
Plans of correction must address four core elements: who; what; how; and. when.
An acceptable Plan of Correction will include both immediate corrective actions to correct the violation and long-term quality improvement actions, with each element including who is responsible, when it will be done, and what action has been or will be taken.
7 Steps of a Corrective Action Process Step 1: Define the Problem. Step 2: Establish the Scope of the Problem. Step 4: Find the Root Cause of the Problem. Step 5: Plan Corrective Actions to Fix the Root Cause. Step 6: Implement the Corrective Action Plan. Step 7: Follow Up to Ensure That Your Plan Worked.

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The Department of Aging Statement of Deficiencies and Plan of Correction is a formal document that outlines areas of non-compliance found during inspections of facilities serving older adults. It requires the facility to acknowledge the deficiencies and provide a detailed plan to address and correct these issues.
Facilities that provide care or services to older adults and are subject to inspection by the Department of Aging are required to file the Statement of Deficiencies and Plan of Correction. This typically includes nursing homes, assisted living facilities, and adult day care centers.
To fill out the Statement of Deficiencies and Plan of Correction, facilities must carefully review the deficiencies noted during the inspection, provide a written response for each deficiency, outline steps to correct the issues, and include timelines for when corrections will be implemented. It should be completed accurately and submitted by the specified deadline.
The purpose of the Statement of Deficiencies and Plan of Correction is to ensure that facilities rectify identified deficiencies, improve the quality of care provided to older adults, and maintain compliance with regulatory standards set forth by the Department of Aging.
The information that must be reported includes the specific deficiencies identified during the inspection, the actions the facility will take to address each deficiency, additional resources needed, timelines for each corrective action, and the name and title of the person responsible for implementing the corrections.
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