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Printed: 06/19/2024 Form Approved OMB No. 09380391Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out protect each resident from

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Develop a detailed plan for each resident's safety.
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Conduct regular safety checks of the living space.
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Provide appropriate training to staff on how to respond to emergencies.
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Keep communication lines open with residents to address any safety concerns.

Who needs protect each resident from?

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Residents in care facilities
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Elderly individuals living alone
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Patients in hospitals or medical facilities
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Individuals with disabilities who require assistance with daily living activities
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Protect each resident from potential harm or risks associated with their living conditions, ensuring safety and well-being.
Typically, property owners, managers, or organizations responsible for the care and safety of the residents are required to file.
Fill out protect each resident from by providing accurate information regarding the safety measures in place, conducting a risk assessment, and submitting the necessary documentation.
The purpose is to ensure that all residents have a safe living environment and that any potential hazards are addressed promptly.
Information such as the assessment of hazards, safety protocols in place, and actions taken to mitigate risks must be reported.
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