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This document outlines the findings of the State Residential Licensure Survey conducted on July 10, 2024, at Hellenic Senior Living of New Albany. It identifies deficiencies related to fire drill compliance, staff training certifications, and medication storage practices, and includes corrective actions proposed by the facility to address these issues.
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Begin by gathering all relevant information and documentation regarding the deficiencies.
02
Clearly identify each deficiency as per the guidelines or regulations laid out for the statement.
03
Provide detailed descriptions for each deficiency, including the context and evidence supporting the claim.
04
Include any corrective actions that have been taken or are planned to address each deficiency.
05
Review the document for accuracy and compliance with required formats.
06
Submit the statement of deficiencies to the appropriate authority or governing body.

Who needs statement of deficiencies and?

01
Organizations or facilities undergoing audits or inspections.
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Regulatory bodies that require documentation of compliance issues.
03
Management teams needing to address operational deficiencies.
04
Legal teams ensuring accountability and correction of issues.
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A statement of deficiencies is a formal document that outlines the areas where an organization fails to comply with specific standards or regulations, typically in a health, safety, or operational context.
Organizations that are subject to regulatory oversight, such as healthcare facilities, are typically required to file a statement of deficiencies when they have been found noncompliant with applicable laws or regulations.
To fill out a statement of deficiencies, an organization must assess its compliance status, document specific areas of noncompliance, provide explanations for each deficiency, and submit the form to the relevant regulatory authority, often including evidence of corrective actions taken.
The purpose of a statement of deficiencies is to formally communicate areas of noncompliance to regulatory authorities, outline necessary improvements, and foster accountability and quality improvement within organizations.
Information that must be reported includes the nature and specifics of each deficiency, the relevant regulations or standards violated, actions taken to address the deficiencies, and timelines for compliance.
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