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Office of Health Care Assurance State Licensing SectionSTATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION Facilities Name: Bautista, Dolores ARCHCHAPTER 100.1Address: 1939 Waipahu Place, Honolulu, Hawaii
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To fill out a statement of deficiencies, follow these steps: 1. Begin by identifying the facility or organization for which the statement of deficiencies is being filled out. 2. Clearly state the purpose of the statement, such as identifying any areas of non-compliance or deficiencies. 3. Provide a detailed description of each deficiency, including specific examples and any supporting documentation. 4. Use a consistent format or template provided by the relevant regulatory body or organization. 5. Include any relevant regulations or standards that are not being met. 6. Offer recommendations or suggestions for how to address and correct each deficiency. 7. Clearly communicate any potential risks or consequences associated with each deficiency. 8. Provide a deadline or timeline for correcting each deficiency. 9. Include contact information for the individual or department responsible for addressing the deficiencies. 10. Review and proofread the statement before submitting it to ensure clarity, accuracy, and completeness.

Who needs statement of deficiencies and?

01
Statement of deficiencies is required by healthcare facilities, such as hospitals, nursing homes, clinics, or other healthcare organizations. It is often used by regulatory bodies, accreditation agencies, or government agencies responsible for overseeing the quality and compliance of healthcare services. Additionally, stakeholders such as patients, insurance companies, and investors may also have an interest in reviewing statements of deficiencies to ensure the facility is providing high-quality care and adhering to safety standards.
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The statement of deficiencies is a report that documents areas of non-compliance with regulations or standards.
Healthcare facilities such as hospitals, nursing homes, and ambulatory surgery centers are required to file a statement of deficiencies.
The statement of deficiencies should be filled out by identifying the deficiencies found, providing a plan of correction, and submitting it to the appropriate regulatory agency.
The purpose of the statement of deficiencies is to address areas of non-compliance and ensure that corrective actions are taken to improve the quality of care provided.
The statement of deficiencies must include details of the deficiencies found, the root causes, and the corrective actions taken or planned.
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