Home
Forms Library
Statement of deficiencies and plan of correction - IN

Statement of deficiencies and plan of correction - IN 2025

statement of deficiencies and plan of correction - IN Preview on Page 1

Show details

4.1 out of 5

27 votes

The document is a Statement of Deficiencies and Plan of Correction from the Centers for Medicare & Medicaid Services regarding Heritage Point Alzheimer's Special Care Center, following a survey conducted on April 21-22, 2021. It outlines various deficiencies related to food service management, pharmaceutical services, and medication storage practices that could potentially affect residents. The facility's plans for correction include scheduling food safety training for staff and implementing regular audits of medication storage to ensure compliance with health regulations.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to modify Statement of deficiencies and plan of correction - IN in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling paperwork with our comprehensive and intuitive PDF editor is simple. Follow the instructions below to complete Statement of deficiencies and plan of correction - IN online easily and quickly:

Log in to your account. Log in with your credentials or create a free account to test the service before choosing the subscription.
Upload a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Statement of deficiencies and plan of correction - IN. Easily add and underline text, insert images, checkmarks, and signs, drop new fillable fields, and rearrange or delete pages from your document.
Get the Statement of deficiencies and plan of correction - IN accomplished. Download your updated document, export it to the cloud, print it from the editor, or share it with other people using a Shareable link or as an email attachment.

Make the most of DocHub, one of the most easy-to-use editors to promptly manage your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the definition of a plan of correction?

What is a Plan of Correction (PoC)? 42 CFR 488.401 defines a Plan of Correction to mean a plan developed by the facility and approved by CMS or the survey agency that describes the actions the facility will take to correct deficiencies and specifies the date by which those deficiencies will be corrected.

How to write a statement of deficiency?

To write a Statement of Deficiencies, three elements must be completed: Gather enough strong evidence. Differentiate finding and deficient practice or noncompliance. Based on a regulation/requirement, recognize what the entity failed to do. Dont wait until near the end of the survey.

Which of the following elements must your plan of correction include?

How Do You Write a Correction Plan? 5 Required Elements Actions Taken. This section should outline all the actions that your facility took to address the cited deficiency. Identification of Affected Individuals. Systemic Policy Changes. Monitoring and Quality Assurance. Date of Completion.

How to write a plan of correction for hospice?

Besides identifying the corrective measures, the POC should address how each corrective measure will be implemented. In other words, it isnt enough to state that you reviewed, revised or created new policies, but the hospice needs to explain how it will make sure these measures are communicated and followed by staff.

What is the hospice plan of correction?

A Plan of Correction is not required for federal nursing home deficiencies at scope/severity level A. Providers are required to submit an acceptable plan of correction for all other deficiencies.

How to do a plan of correction?

A POC must describe the corrective actions that the hospice will take to remedy an alleged deficiency and come into compliance with applicable regulations. A POC is typically required to be developed for all cited deficiencies, whether the deficiency is a standard or condition level deficiency.

Which element must your plan of correction include?

Completing and Submitting a Plan of Correction. Describe Corrective Actions. Make Assignments. Set a Specific Correction Date. Evaluate Success with Monitoring Activities. Submit Evidence.

Statement of deficiencies and plan of correction - IN 2025

Here's how it works