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This document outlines the deficiencies found during a Life Safety Code and State Licensure Survey conducted at Sebo\'s Nursing and Rehabilitation Center, including noted violations of the National Fire Protection Association standards. It provides a summary of the survey findings, proposed corrective actions, and compliance dates.
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01
Gather all relevant information and documents related to the deficiencies.
02
Review the specific regulations or standards that apply to the facility or organization.
03
Identify and list each deficiency clearly and concisely.
04
Provide a description for each deficiency, including the impact on operations or compliance.
05
Indicate the date of occurrence or discovery for each deficiency.
06
Include any evidence or records that support the identified deficiencies.
07
Make sure to sign and date the statement, confirming its accuracy.

Who needs statement of deficiencies and?

01
Organizations undergoing regulatory inspections or audits.
02
Facilities that need to demonstrate compliance with health and safety standards.
03
Providers applying for funding or accreditation.
04
Administration and management teams that require a record of deficiencies for improvement and corrective actions.
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A statement of deficiencies is a formal document that outlines specific areas where an entity, such as a healthcare facility, is not in compliance with regulatory standards.
Entities that are regulated by health care laws and are found to be non-compliant during inspections, such as hospitals or nursing homes, are required to file a statement of deficiencies.
To fill out a statement of deficiencies, the entity should provide detailed information on each deficiency identified, including corrective actions taken, timelines for compliance, and any supporting documentation.
The purpose of a statement of deficiencies is to formally notify the regulated entity of compliance issues and to ensure that appropriate corrective actions are taken to meet regulatory standards.
The statement of deficiencies must report the specific regulatory standards that have not been met, detailed descriptions of the deficiencies observed, and evidence of the steps taken toward remediation.
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