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This document provides a comprehensive summary of deficiencies observed during a survey of Gardens at Scranton, a nursing facility, along with the facility\'s required plan of correction. It lists specific regulatory violations related to resident rights, safety, and care practices, including issues related to resident council meetings, informed consent for vaccinations, cleanliness of the facility, grievances, medication management, and infection control, among others. The report highlights...
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01
Identify the purpose of the statement of deficiencies.
02
Gather all relevant data and documentation to support your findings.
03
List each deficiency clearly and concisely.
04
Provide a detailed description of each deficiency, including the regulation or standard that was violated.
05
Include the date and time when each deficiency was observed.
06
Outline any potential impact on health and safety caused by the deficiency.
07
Add recommendations or steps for correction if applicable.
08
Review the statement for accuracy and completeness before submission.

Who needs statement of deficiencies and?

01
Healthcare providers to identify areas needing improvement in compliance.
02
Regulatory bodies for monitoring and enforcement of standards.
03
Accrediting organizations to evaluate quality of care.
04
Facilities undergoing audits or inspections.
05
Legal representatives in case of disputes or litigation.
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A statement of deficiencies is a formal document that outlines any areas where an organization or individual has not met regulatory standards or requirements.
Organizations or individuals who are found to be non-compliant with specific regulations or standards are required to file a statement of deficiencies.
To fill out a statement of deficiencies, one must provide detailed information about the deficiencies identified, including the nature of each deficiency, corrective actions taken or planned, and any supporting documentation.
The purpose of a statement of deficiencies is to formally acknowledge compliance issues, outline corrective measures, and communicate intentions to resolve these issues to regulatory authorities.
The statement of deficiencies must include specific details regarding the deficiencies, the context in which they occurred, the timeline for corrective actions, and the parties responsible for addressing the issues.
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