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This document outlines the findings of deficiencies observed during a survey conducted at Thomas Rest Haven nursing home. It includes details on specific residents affected, levels of harm associated with the observed deficiencies, and the measures required for correction. It addresses issues related to resident dignity, pressure ulcer care, fall supervision, medication storage, and infection control protocols.
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01
Gather relevant documentation about the facility or service.
02
Identify the specific standards or regulations that were not met.
03
Describe each deficiency clearly and concisely.
04
Provide evidence or examples that support the identified deficiencies.
05
Ensure that the statements are objective and factual.
06
Include any previous corrective actions taken, if applicable.
07
Review the document for clarity and accuracy before submission.

Who needs statement of deficiencies and?

01
Healthcare providers and facilities undergoing surveys or audits.
02
Regulatory agencies and oversight bodies.
03
Accrediting organizations that assess healthcare quality.
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A statement of deficiencies is a formal document that outlines specific areas where an organization or program does not meet established standards or regulations.
Organizations or individuals subject to regulatory oversight, such as healthcare providers or facilities, are typically required to file a statement of deficiencies.
To fill out a statement of deficiencies, the filer should provide detailed descriptions of each deficiency, including the relevant regulation, the nature of the deficiency, and any corrective actions taken or planned.
The purpose of a statement of deficiencies is to formally document compliance issues and to prompt corrective action to ensure adherence to applicable standards.
The statement must report the specific deficiencies identified, the relevant regulatory references, the context of the deficiencies, and any proposed or implemented corrective actions.
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