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This document provides a summary of deficiencies identified during a focused infection control survey at Arden Courts of Wayne, NJ, including the failure to comply with infection prevention regulations related to COVID-19. It outlines the required plan of correction and corrective actions needed to resolve deficiencies, emphasizing the need for isolation policies for new admissions and readmissions.
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01
Gather all relevant documents and information related to the deficiencies.
02
Clearly define each deficiency, specifying the area of concern.
03
Provide detailed explanations for each deficiency, including evidence or examples.
04
Identify the regulatory standards or guidelines that are being violated.
05
Assign responsible individuals or teams to address each deficiency.
06
Establish a timeline for corrective actions to be taken.
07
Review the statement for clarity and completeness before submission.

Who needs statement of deficiencies and?

01
Organizations undergoing compliance evaluations, such as healthcare facilities.
02
Regulatory bodies or agencies that track compliance and enforce standards.
03
Staff members responsible for quality assurance and improvement.
04
External auditors or inspectors assessing organizational performance.
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A statement of deficiencies is a formal document that outlines specific shortcomings or violations in meeting required standards or regulations within a particular system or organization.
Organizations or entities that have been found to be non-compliant with applicable laws, regulations, or standards are required to file a statement of deficiencies.
To fill out a statement of deficiencies, begin by gathering relevant documentation, clearly identify each deficiency, provide evidence or examples, outline corrective actions taken or planned, and ensure that the document is signed by the authorized representative.
The purpose of a statement of deficiencies is to formally document areas of non-compliance, facilitate corrective actions, and ensure accountability in meeting established standards.
The information that must be reported includes a description of each deficiency, the applicable regulation or standard, evidence of non-compliance, and a plan for corrective action.
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