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This document outlines the deficiencies noted during the annual inspection of Hale Ki’apu at Korean Care Center, along with the required plans of correction to address these deficiencies. It covers various regulatory compliance criteria including personnel requirements, nutrition, medications, resident rights, and environmental safety to ensure quality care in the facility.
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01
Identify the specific regulations and standards applicable to the facility.
02
Gather relevant documentation and evidence related to the deficiencies.
03
List each deficiency clearly and concisely, referencing the corresponding regulation.
04
Provide a detailed description of how each deficiency impacts safety or compliance.
05
Include any corrective actions taken or planned for each deficiency.
06
Ensure the statement is organized and formatted according to any required guidelines.
07
Review and edit the statement for clarity and completeness before submission.

Who needs statement of deficiencies and?

01
Healthcare facilities seeking to demonstrate compliance with regulatory standards.
02
Regulatory agencies to assess the compliance status of facilities.
03
Accrediting organizations that require evidence of compliance for accreditation.
04
Facility management and staff for internal quality assurance and improvement purposes.
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A statement of deficiencies is a formal document that outlines the areas in which an organization or facility fails to meet established standards or regulations, typically in the context of healthcare or institutional operations.
Organizations or facilities that are subject to regulatory oversight, such as healthcare providers, nursing homes, or any licensed entities that receive federal or state funding, are required to file a statement of deficiencies.
Filling out a statement of deficiencies typically involves identifying specific areas of non-compliance, providing detailed descriptions of each deficiency, citing applicable regulations or standards, and developing a plan for corrective actions.
The purpose of a statement of deficiencies is to formally document compliance issues, promote accountability, ensure that facilities take corrective actions, and maintain standards of care to protect the health and safety of individuals served.
The information that must be reported typically includes the specific deficiencies identified, relevant data about the incidents, applicable regulations or standards, and a corrective action plan detailing how and when the deficiencies will be addressed.
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