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This document outlines the findings from a Federal Complaint Investigation and COVID-19 Focused Infection Control Survey conducted at Bio-Medical Applications of Trenton, highlighting compliance with federal regulations concerning infection control and deficiencies related to hand hygiene, facility policy adherence, and patient care standards.
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01
Start by gathering all relevant documentation and records for the facility being assessed.
02
Review the specific regulations and standards that apply to the facility.
03
Identify areas of non-compliance based on observations and documentation.
04
Write a clear description of each deficiency, including the regulation it violates.
05
Include evidence to support each deficiency, such as inspection notes or incident reports.
06
Ensure that your language is objective and factual, avoiding subjective opinions.
07
Organize the deficiencies in a logical manner, possibly by area or type of issue.
08
Prepare the final document for submission, ensuring it is clear, concise, and complete.

Who needs statement of deficiencies and?

01
Healthcare facilities undergoing inspections or assessments.
02
Regulatory agencies responsible for compliance monitoring.
03
Legal professionals or consultants involved in compliance issues.
04
Facility management and administrative staff for corrective action planning.
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A statement of deficiencies is a formal document that outlines the specific areas where an entity, such as a healthcare facility, is not complying with required standards or regulations.
Entities such as healthcare providers, facilities, or organizations that are found to be non-compliant with regulatory standards are required to file a statement of deficiencies.
To fill out a statement of deficiencies, the entity must provide detailed information about the areas of non-compliance, proposed corrective actions, and timelines for addressing the deficiencies.
The purpose of a statement of deficiencies is to formally identify areas of non-compliance and to ensure that corrective actions are planned and implemented to meet regulatory standards.
The statement of deficiencies must report the specific regulatory requirements not met, descriptions of the deficiencies, and the impact on patient safety or quality of care.
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