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This document outlines the deficiencies identified during a survey conducted on April 26, 2017, at Alvarado\'s Family Care. It includes details about the lack of compliance with health regulations regarding the evaluation and review of residents\' health-related tasks, specifically in relation to licensed health professional support.
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How to fill out statement of deficiencies and
How to fill out statement of deficiencies and
01
Begin with the facility's name, address, and date of the review.
02
Identify the regulation or requirement being violated.
03
Describe the specific deficiency observed.
04
Provide evidence and facts to support the identified deficiency.
05
Quantify the deficiency, if possible, by stating how many individuals are affected.
06
Include the date when the deficiency was identified.
07
Specify the corrective actions that will be taken to resolve the deficiency.
08
Review the entire statement for clarity and completeness before submission.
Who needs statement of deficiencies and?
01
Regulatory agencies that oversee healthcare facilities.
02
Facility management and staff responsible for compliance.
03
Accrediting bodies that require documentation of deficiencies.
04
Patients and their families seeking assurance of care standards.
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What is statement of deficiencies?
A statement of deficiencies is a formal document that outlines areas where a facility or service does not meet established regulatory standards or requirements.
Who is required to file statement of deficiencies?
Facilities or services that have been found non-compliant with regulatory standards are required to file a statement of deficiencies.
How to fill out statement of deficiencies?
To fill out a statement of deficiencies, the facility must detail each area of non-compliance, provide evidence of the deficiencies, and outline corrective actions to be taken.
What is the purpose of statement of deficiencies?
The purpose of the statement of deficiencies is to formally acknowledge areas of non-compliance and to provide a plan for corrective actions to bring the facility back into compliance.
What information must be reported on statement of deficiencies?
The information reported must include the specific regulations violated, descriptions of the deficiencies, and timelines for compliance actions.
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