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This document outlines the findings from a federal allegation survey and COVID-19 focused infection control survey conducted at Hackensack Meridian Health - Mountainside on September 11, 2020, identifying various deficiencies in infection prevention and control practices, and the facility\'s plan of correction to address these issues.
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01
Gather all relevant documents and information regarding the deficiencies.
02
Identify each deficiency according to applicable regulations or standards.
03
Describe each deficiency clearly and concisely in the statement.
04
Provide evidence or examples for each deficiency mentioned.
05
Ensure that the statement is organized logically, possibly by category or severity.
06
Review the statement for accuracy and completeness before submission.

Who needs statement of deficiencies and?

01
Healthcare facilities undergoing inspections.
02
Regulatory bodies establishing compliance.
03
Organizations seeking funding or accreditation.
04
Legal professionals involved in health care law.
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A statement of deficiencies is a formal document that outlines the non-compliance issues or areas where a facility or institution fails to meet required standards or regulations.
Organizations or facilities 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, one must clearly identify each deficiency, provide supporting information or evidence, and outline a plan for corrective actions.
The purpose of a statement of deficiencies is to formally document areas of non-compliance, promote accountability, and ensure that corrective measures are taken to meet required standards.
The statement of deficiencies must report details about the specific deficiencies identified, the standards violated, the evidence supporting the findings, and the corrective actions planned.
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