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This document outlines the deficiencies identified during a state survey of Aviva Valparaiso facility, along with the provider\'s plan of correction. It includes specific deficiencies in resident rights, sanitation, service plan updates, infection control related to COVID-19, and an assessment of compliance with healthcare regulations.
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01
Gather all relevant data and documentation regarding the deficiencies.
02
Identify the specific areas of non-compliance or issues that need to be addressed.
03
Clearly describe each deficiency, including facts, evidence, and context.
04
Use a structured format to list deficiencies, ensuring clarity and conciseness.
05
Include references to applicable regulations or standards.
06
Review the statement for accuracy and completeness before submission.
07
Ensure that the statement is signed and dated by the appropriate party.

Who needs statement of deficiencies and?

01
Regulatory agencies conducting inspections.
02
Healthcare facilities undergoing audits.
03
Organizations seeking to identify areas for improvement.
04
Legal teams preparing for compliance challenges.
05
Quality assurance teams assessing service standards.
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A statement of deficiencies is a formal document that outlines the specific areas where an organization or entity fails to meet certain standards or regulations.
Entities such as healthcare facilities, nursing homes, and other organizations that are subject to regulatory oversight are required to file a statement of deficiencies.
To fill out a statement of deficiencies, an entity must identify the specific deficiencies, provide details about each deficiency, and include corrective action plans along with relevant documentation.
The purpose of a statement of deficiencies is to formally document areas of non-compliance and to initiate corrective actions to comply with regulatory standards.
The information that must be reported includes descriptions of each deficiency, the standards that were not met, evidence of the deficiencies, and proposed corrective actions.
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