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04/24/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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01
To fill out a plan of correction, follow these steps:
02
Review the deficiency citations or survey findings that led to the need for a plan of correction.
03
Understand the requirements and expectations outlined in the deficiency citations or survey findings.
04
Identify the root causes of the deficiencies and develop strategies to address them.
05
Create a detailed action plan that clearly outlines the steps to be taken to correct the deficiencies.
06
Assign responsibilities to individuals or teams who will be responsible for implementing the corrective actions.
07
Set realistic deadlines for completing each corrective action.
08
Continuously monitor the progress of the corrective actions and make adjustments as needed.
09
Document everything, including the actions taken, the individuals involved, and the dates of completion.
10
Submit the completed plan of correction to the appropriate regulatory or accrediting body.
11
Follow up with any additional information or documentation as requested.

Who needs plan of correction by?

01
A plan of correction is needed by organizations or facilities that have been found to be non-compliant with regulatory or accreditation standards.
02
This can include hospitals, nursing homes, assisted living facilities, home health agencies, and other healthcare providers.
03
The plan of correction is required to demonstrate the steps that will be taken to correct the deficiencies and ensure future compliance.
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Plan of correction is a document outlining the steps and actions to be taken to correct deficiencies or violations found during an inspection or audit.
The organization or individual responsible for the deficiencies or violations is required to file the plan of correction.
The plan of correction should be filled out with detailed actions, timelines, responsible parties, and anticipated outcomes for each deficiency or violation.
The purpose of the plan of correction is to address and resolve deficiencies or violations identified during an inspection or audit.
The plan of correction must include specific details about the deficiencies or violations, proposed corrective actions, timelines for implementation, responsible parties, and expected outcomes.
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