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This document outlines the findings from the annual survey conducted on April 1-2, 2015, at Johnson Better Care Facility, Inc. It includes statements of deficiencies related to personal care training, medication administration, and resident care, as well as the facility\'s plan of correction for these issues.
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01
Start with the facility's name and address at the top of the document.
02
Clearly identify the specific rule or regulation that has been violated.
03
Describe the deficiency in detail, providing evidence and examples.
04
Include the date of the observation of the deficiency.
05
Specify the location within the facility where the deficiency was observed.
06
Indicate the potential impact of the deficiency on residents or clients.
07
List the corrective actions that have been taken or will be taken to address the deficiency.
08
Ensure that the document is signed and dated by the person completing it.

Who needs statement of deficiencies and?

01
Regulatory agencies that oversee healthcare facilities.
02
Facility administrators to improve compliance and quality of care.
03
Accrediting bodies to ensure standard of care.
04
Legal representatives in case of disputes or litigation.
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A statement of deficiencies is a formal document that outlines areas where an organization does not meet the established standards or regulations, typically used in health care or regulatory compliance.
Organizations or facilities that are found to be non-compliant with applicable laws, regulations, or standards are required to file a statement of deficiencies.
To fill out a statement of deficiencies, one should carefully review the findings of the compliance review, accurately document the deficiencies identified, provide explanations or corrective actions, and submit the form to the relevant authority.
The purpose of a statement of deficiencies is to formally acknowledge the areas of non-compliance, prompt corrective action, and ensure ongoing regulatory oversight.
The statement of deficiencies must report details of the non-compliance, specific regulatory violations, the date of the findings, corrective action plans, and timeframes for rectification.
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