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Office of Health Care Assurance State Licensing SectionSTATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION Facilities Name: RMS Adult Care Home Inc. CHAPTER 100.1Address: 941048 Amalia Street, Waipahu,

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How to fill out statement of deficiencies and

01

Review regulations and guidelines for completing a statement of deficiencies.

02

Identify areas of non-compliance and gather supporting evidence.

03

Write a detailed description of each deficiency, including the regulation that was violated.

04

Propose corrective actions to address each deficiency.

05

Submit the completed statement of deficiencies to the appropriate regulatory agency.

Who needs statement of deficiencies and?

01

Healthcare facilities that are subject to regulatory inspections

02

Organizations seeking accreditation

03

Facilities that want to improve quality of care and compliance

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What is statement of deficiencies and?

The statement of deficiencies is a report that outlines any issues or deficiencies found during an inspection or survey.

Who is required to file statement of deficiencies and?

Healthcare facilities such as hospitals, nursing homes, and clinics are required to file a statement of deficiencies.

How to fill out statement of deficiencies and?

The statement of deficiencies is typically filled out by the facility's compliance or quality assurance team.

What is the purpose of statement of deficiencies and?

The purpose of the statement of deficiencies is to identify areas where the facility is not in compliance with regulations or standards, and to develop a plan of correction.

What information must be reported on statement of deficiencies and?

The statement of deficiencies must detail each deficiency found, the regulation or standard it violates, and a plan of correction.

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