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This document outlines the findings from a survey conducted by the Centers for Medicare & Medicaid Services, detailing the deficiencies found at Treyburn Rehabilitation Center and the subsequent plan of correction. It includes observations regarding resident care, medication management, food safety, nutritional support, and staffing adequacies.
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How to fill out statement of deficiencies and

01
Obtain the statement of deficiencies form from the relevant authority or organization.
02
Gather all necessary information related to the deficiencies being reported.
03
Clearly identify each deficiency in a separate itemized list.
04
Provide detailed descriptions for each deficiency, including specific locations and dates.
05
Reference any applicable regulations or standards that the deficiencies violate.
06
Review the information for completeness and accuracy.
07
Submit the completed statement of deficiencies to the relevant authority by the specified deadline.

Who needs statement of deficiencies and?

01
Regulatory agencies responsible for oversight of healthcare facilities.
02
Inspection and accreditation organizations.
03
Facility management teams addressing compliance issues.
04
Legal teams involved in liability cases related to deficiencies.
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A statement of deficiencies is a formal document that outlines areas of non-compliance or deficiencies identified during inspections or audits, particularly in regulated environments such as healthcare facilities or education institutions.
Organizations or facilities that are subject to regulatory oversight, such as healthcare providers, educational institutions, and businesses that must comply with specific health, safety, or operational standards are required to file a statement of deficiencies.
To fill out a statement of deficiencies, organizations must carefully review the findings from their inspection or audit, provide accurate descriptions of each deficiency, outline corrective actions to be taken, and submit the document to the appropriate regulatory authority.
The purpose of a statement of deficiencies is to formally document areas that need improvement, ensure compliance with regulatory standards, and facilitate the implementation of corrective actions to enhance the quality of services or operations.
The statement of deficiencies must include the specific findings of non-compliance, descriptions of the deficiencies, references to applicable regulations or standards, and proposed plans for corrective actions along with timelines for resolution.
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