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This document outlines the statement of deficiencies identified during a survey conducted by the Centers for Medicare & Medicaid Services (CMS) at Brian Center Nursing Care. It details specific deficiencies related to resident assessments and quality assurance measures, along with a proposed plan of correction to address these issues.
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01
Begin by gathering all necessary documentation and reports related to the facility's operations.
02
Identify the specific regulations and standards that are applicable to the facility.
03
Review the findings from inspections or audits to pinpoint areas of deficiency.
04
Clearly outline each deficiency, providing detailed descriptions and evidence where applicable.
05
Ensure that each statement of deficiency is organized according to the corresponding regulatory standard.
06
Use clear and concise language to avoid ambiguity and ensure understanding.
07
Include a section for corrective actions needed to address each deficiency.
08
Review the completed statement for accuracy and completeness before submission.

Who needs statement of deficiencies and?

01
Regulatory agencies that oversee facility compliance with health and safety standards.
02
Facility administrators and management to understand areas needing improvement.
03
Staff members to be informed about regulatory requirements and deficiencies.
04
Legal teams in case of potential litigation or compliance issues.
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A statement of deficiencies is a formal document that outlines the areas in which a facility or organization is non-compliant with established regulations or standards.
Facilities or organizations that receive government funding or are subject to regulatory oversight, such as healthcare providers, are typically required to file a statement of deficiencies.
To fill out a statement of deficiencies, organizations should carefully review the applicable regulations, identify areas of non-compliance, provide detailed explanations, and submit supporting documentation as needed.
The purpose of the statement of deficiencies is to inform the relevant oversight authorities of compliance issues, facilitate corrective action, and ensure facilities understand their obligations under the law.
The statement of deficiencies must report the specific regulations violated, the context of each deficiency, dates of occurrences, and any corrective actions taken or planned.
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