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This document outlines deficiencies identified during the inspection of Mary\'s Peaceful Haven, LLC, on January 15, 2021, including the required plan of correction for each deficiency. It details the findings related to resident care, medications, food sanitation, and safety regulations, along with a future plan to prevent reoccurrences.
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How to fill out plan of correction

01
Identify the specific areas of deficiency that need correction.
02
Gather all relevant data and evidence to support your findings.
03
Develop clear and actionable steps to address each deficiency.
04
Assign responsibilities to specific individuals for implementing each step.
05
Establish a timeline for completion of each action item.
06
Determine how you will measure the effectiveness of the corrections.
07
Document the plan in a clear format, ensuring all stakeholders can understand it.
08
Review the plan with all involved parties to ensure agreement and understanding.

Who needs plan of correction?

01
Healthcare facilities undergoing inspections.
02
Organizations that have been cited for non-compliance.
03
Businesses in regulated industries required to adhere to specific standards.
04
Any entity needing to demonstrate corrective action to regulatory bodies.
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A plan of correction is a document submitted by an organization in response to identified deficiencies or violations, outlining the steps it will take to address the issues and ensure compliance with regulatory standards.
Any organization or facility that has been cited for deficiencies during an inspection or audit is required to file a plan of correction.
To fill out a plan of correction, the organization should detail each deficiency identified, outline specific corrective actions to be taken, assign responsibilities to individuals, set timelines for completion, and describe how the effectiveness of the correction will be evaluated.
The purpose of a plan of correction is to demonstrate the organization's commitment to rectify issues, ensure compliance with regulations, and improve overall quality of care or services provided.
The plan of correction must include the nature of the deficiencies, specific actions to be implemented, responsible parties, timelines for implementation, and methods for evaluating the success of the corrections.
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