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This document outlines the Statement of Deficiencies and the corresponding Plans of Correction related to the Emergency Preparedness and Life Safety Code compliance at Waters of Wabash Skilled Nursing Facility East. It details the findings from the survey completed on August 29, 2024, including deficiencies related to emergency preparedness planning, fire safety, and building construction standards.
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01
Gather all necessary information related to the deficiencies.
02
List each deficiency clearly and precisely.
03
Provide evidence or examples for each deficiency listed.
04
Organize the deficiencies by category if applicable.
05
Use a clear and professional format for the document.
06
Include any relevant dates and references to policies or regulations.
07
Review the statement for accuracy and completeness before submission.

Who needs statement of deficiencies and?

01
Regulatory agencies that monitor compliance.
02
Healthcare facilities undergoing audits.
03
Accrediting bodies for healthcare providers.
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Organizations seeking to improve their quality of care.
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A statement of deficiencies is a formal document that outlines issues or non-compliance found during an inspection, typically related to healthcare or regulatory standards.
Organizations or facilities that are subject to regulatory inspections and found to have deficiencies are required to file a statement of deficiencies.
To fill out a statement of deficiencies, the organization must provide clear and detailed descriptions of the deficiencies found, corrective actions taken, and a plan for resolving the issues by specified deadlines.
The purpose of the statement of deficiencies is to document areas of non-compliance, ensure accountability, and provide a framework for corrective actions to improve standards and practices.
The statement must report the nature of the deficiencies, specific regulatory standards that were not met, dates of occurrence, and any corrective actions planned or undertaken.
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