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PRINTED: 11/10/2022 DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 09380391STATEMENT OF DEFICIENCIES AND(X1) PROVIDER/SUPPLIER/CHAPMAN OF CORRECTIONSIDENTIFICATION
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How to fill out plan of corrections
How to fill out plan of corrections
01
Review the deficiencies identified in the survey report.
02
Identify the root causes of the deficiencies.
03
Develop a corrective action plan for each deficiency, including specific steps to address the root causes.
04
Assign responsibility for implementing the corrective action plan to specific staff members.
05
Establish a timeline for completing each corrective action.
06
Document the completion of each corrective action and the results of the action taken.
07
Submit the plan of corrections to the survey agency for review and approval.
Who needs plan of corrections?
01
Healthcare facilities such as hospitals, nursing homes, and assisted living facilities that have been cited for deficiencies during a survey.
02
Organizations that provide services or support to vulnerable populations and are subject to regulatory oversight.
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What is plan of corrections?
A plan of corrections is a document outlining the steps that will be taken to address and correct deficiencies found during an inspection or audit.
Who is required to file plan of corrections?
Any entity or individual that has been found to have deficiencies in their operations is required to file a plan of corrections.
How to fill out plan of corrections?
To fill out a plan of corrections, the entity or individual must identify the deficiencies, propose corrective actions, outline timelines for implementation, and detail how compliance will be monitored.
What is the purpose of plan of corrections?
The purpose of a plan of corrections is to ensure that deficiencies are addressed promptly and effectively to maintain compliance with regulations and standards.
What information must be reported on plan of corrections?
A plan of corrections must include a description of the deficiency, proposed corrective actions, timelines for implementation, responsible parties, and methods for monitoring compliance.
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