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Office of Health Care Assurance State Licensing SectionSTATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION Facilities Name: Reyes, Cesar (ARCH)CHAPTER 100.1Address: 2602 NIH Street, Honolulu, Hawaii
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How to fill out statement of deficiencies and
How to fill out statement of deficiencies and
01
Review the regulations and guidelines for the specific type of facility being inspected.
02
Identify areas of non-compliance or deficiencies.
03
Document the deficiencies in the statement of deficiencies form, including the specific regulation or guideline that was violated.
04
Include a description of the deficiency, its impact on resident health and safety, and any corrective actions taken or planned.
05
Submit the completed statement of deficiencies to the appropriate regulatory agency within the specified timeframe.
Who needs statement of deficiencies and?
01
Healthcare facilities such as nursing homes, hospitals, and assisted living facilities.
02
Regulatory agencies responsible for oversight and inspection of healthcare facilities.
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What is statement of deficiencies?
A statement of deficiencies is a document that outlines any violations or deficiencies found during an inspection or survey.
Who is required to file statement of deficiencies?
Healthcare facilities such as hospitals, nursing homes, and assisted living facilities are required to file a statement of deficiencies.
How to fill out statement of deficiencies?
Statement of deficiencies should be filled out by documenting each deficiency found, providing a plan of correction, and submitting it to the appropriate regulatory agency.
What is the purpose of statement of deficiencies?
The purpose of a statement of deficiencies is to address any violations or deficiencies found during an inspection and ensure that corrective actions are taken.
What information must be reported on statement of deficiencies?
Information such as the nature of the deficiency, the regulatory standard violated, the date the deficiency was identified, and the plan of correction must be reported on a statement of deficiencies.
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