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This document provides an official statement of deficiencies identified during a survey of Cedars Health Facility located at 14409 Sunrise Ct, Leo, IN. It details the findings related to the quality of care, particularly regarding the handling of a dislodged PICC line for a resident, along with the facility\'s plan of correction to address these deficiencies. The document also includes regulatory citations and corrective actions taken to prevent recurrence of the issues identified.
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How to fill out cms statement of deficiencies

01
Gather all relevant information about the facility's operations and processes.
02
Review the CMS guidelines for completing the Statement of Deficiencies.
03
Identify areas of non-compliance with regulatory standards.
04
Document specific deficiencies observed during the review process.
05
Include evidence to support each deficiency, such as notes from inspections or records.
06
Clearly describe how each deficiency violates the relevant regulations.
07
Organize the deficiencies in a coherent manner, following CMS formatting requirements.
08
Review the completed document for accuracy and completeness.
09
Submit the Statement of Deficiencies to the appropriate CMS office.

Who needs cms statement of deficiencies?

01
Healthcare facilities undergoing surveys or inspections.
02
Facility administrators and compliance officers.
03
Legal and regulatory consultants involved in healthcare compliance.
04
State agencies and accreditation organizations evaluating healthcare facilities.
05
Healthcare professionals responsible for quality assurance and improvement.
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The CMS Statement of Deficiencies is a formal document used by the Centers for Medicare & Medicaid Services to outline deficiencies found during surveys of healthcare providers, indicating areas where they do not meet federal health and safety standards.
Healthcare facilities and providers that participate in Medicare and Medicaid programs are required to file a CMS Statement of Deficiencies when deficiencies are identified during a survey.
To fill out a CMS Statement of Deficiencies, a facility must carefully document each deficiency identified during a survey, provide a detailed explanation of the deficiency, and outline the steps they will take to correct the issues by a specified timeframe.
The purpose of the CMS Statement of Deficiencies is to formally document compliance issues or lapses in healthcare facilities, ensuring that necessary corrective actions are initiated to maintain patient safety and regulatory compliance.
The CMS Statement of Deficiencies must report specific deficiencies, the regulations that were violated, detailed descriptions of the findings, and the corrective action plans for addressing those deficiencies.
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