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This document outlines the deficiencies found during a survey of the adult care facility Terrabella Asheboro, covering issues related to medication administration and staff qualifications, along with
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01
Review the relevant regulations and guidelines for your specific context.
02
Gather all necessary documentation and evidence related to deficiencies.
03
Identify and clearly outline each deficiency in a separate section.
04
Provide detailed descriptions of the deficiencies, including the impact on operations.
05
Include citations from regulatory standards that are applicable to each deficiency.
06
Propose corrective actions for each identified deficiency.
07
Review the statement for accuracy and completeness before submission.

Who needs statement of deficiencies and?

01
Healthcare facilities to assess compliance with regulations.
02
Regulatory agencies for monitoring and enforcement purposes.
03
Accrediting bodies to evaluate quality and safety standards.
04
Legal teams to identify areas of potential liability.
05
Management teams for internal quality improvement efforts.
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A statement of deficiencies is a formal document that outlines specific areas where an organization or facility does not comply with regulatory requirements or standards.
Organizations, facilities, or providers that are subject to regulatory oversight and have been found to have deficiencies during assessments or inspections are required to file a statement of deficiencies.
Filling out a statement of deficiencies involves documenting each deficiency clearly, providing specifics about the non-compliance, and detailing the corrective actions that will be taken to address each issue.
The purpose of a statement of deficiencies is to formally communicate non-compliance issues, ensure accountability, and outline steps for correction to meet regulatory standards.
The information that must be reported includes a description of each deficiency, the regulatory citation or standard it violates, the impact of the deficiency, and the plan for corrective action.
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