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This document outlines the deficiencies identified during the annual licensure and certification survey of the Village at Victory Lakes healthcare facility, along with the provider\'s plan of correction. It details specific regulatory violations related to resident care policies, nursing and personal care requirements, supervision of nursing services, and dietary orders. The document highlights incidents of inadequate supervision and unsafe transfer practices leading to resident harm.
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How to fill out statement of deficiencies and

01
Begin with the facility information, including name, address, and type of facility.
02
List the specific regulations or standards that were not met.
03
Describe the nature of each deficiency clearly and concisely.
04
Provide evidence or documentation to support each deficiency claim.
05
Include the date of the deficiency and any relevant timelines for resolution.
06
Outline any corrective actions that have been taken or will be taken.
07
Review the completed statement for accuracy and completeness before submission.

Who needs statement of deficiencies and?

01
Regulatory agencies that oversee facility compliance.
02
Facility management and staff for accountability and improvement purposes.
03
Healthcare providers, patients, and their families to understand care quality.
04
Quality assurance teams conducting audits or assessments.
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A statement of deficiencies is a formal document that outlines any shortcomings or non-compliance issues in an organization's operations, typically required by regulatory bodies to ensure compliance with laws and standards.
Entities such as healthcare facilities, organizations receiving federal funding, and other regulated businesses are required to file a statement of deficiencies when they are found to be non-compliant with standards or regulations.
To fill out a statement of deficiencies, one must review the relevant regulations, assess the organization's compliance status, document specific deficiencies, provide details and evidence for each deficiency, and submit the completed form by the required deadline.
The purpose of a statement of deficiencies is to formally communicate identified non-compliance issues to the responsible organization, allowing them to address and rectify these issues to meet regulatory standards.
The statement of deficiencies must report specific details regarding the nature of the deficiencies, the locations where they were identified, relevant dates, and any pertinent evidence or documentation supporting the findings.
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