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This document outlines the deficiencies identified during a survey of Angelica Houses Family Care Home II, including issues related to infection control, medication administration, and compliance with health regulations. It details specific incidents of inadequate medication documentation and deficiencies in providing care, as well as the establishment of a plan of correction with specified compliance dates.
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How to fill out statement of deficiencies and

01
Review the standards and regulations that apply to your facility or service.
02
Identify areas of non-compliance during the inspection process.
03
Document each deficiency clearly, including specific citations to regulations.
04
Provide a detailed description of the nature and scope of the deficiency.
05
Include any evidence or examples that support your findings.
06
Specify the potential impact on residents or clients.
07
Outline the corrective actions required to address each deficiency.
08
Ensure that all information is accurate and easily understandable.

Who needs statement of deficiencies and?

01
Healthcare facilities undergoing inspections or audits.
02
Organizations seeking to improve compliance and quality of care.
03
Regulatory agencies monitoring the standards of care.
04
Accrediting bodies assessing facility compliance.
05
Legal entities or stakeholders reviewing the performance of a facility.
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A statement of deficiencies is a formal document that outlines specific areas where an individual or organization is not in compliance with regulatory standards or requirements.
Entities that are subject to regulatory oversight, such as healthcare facilities, educational institutions, or businesses, are typically required to file a statement of deficiencies if they are found non-compliant during an inspection.
To fill out a statement of deficiencies, one must provide detailed descriptions of the non-compliance issues, relevant dates, corrective actions taken, and supporting documentation as required by the regulatory authority.
The purpose of a statement of deficiencies is to formally acknowledge compliance gaps and provide a roadmap for corrective actions to address these deficiencies and meet regulatory standards.
Information that must be reported includes the specific deficiencies identified, actions taken to remedy them, timelines for resolution, and any additional information requested by the regulatory body.
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