Categories
Plan of Correction (POC)
Plan of Correction (POC) Check List
| Facility: | ||||
| Requirements of Deficiency Correction: | Present | Not Present | Not Applicable | |
| I. The POC describes what corrective action(s) will be accomplished for those individuals found to have been affected by the deficient practice. | ||||
| A. | The POC specified the specific action taken for the affected residents. | |||
| B. | The POC identified the title of the person/s responsible for the specific corrections. | |||
| C. | The POC indicated the date the specific actions were completed. | |||
| Comments: | ||||
| Requirements of Deficiency Correction: | Present | Not Present | Not Applicable | |
| II. The POC describes how the facility will identify other individuals having the potential to be affected by the same deficient practice and what corrective action(s) will be taken. | ||||
| A. | A method/ system to identify other residents was described. | |||
| B. | If other resident/s affected by the deficient practice identified, indicated | |||
| C. | The POC indicated the title of person/s responsible for identifying other residents and making corrections. | |||
| D. | If other affected residents are identified, the POC indicated the date action was completed for correction for each one. | |||
| Comments: | ||||
| Requirements of Deficiency Correction: | Present | Not Present | Not Applicable | |
| III. The POC describes what measures will be put in place or what systemic change will be made to ensure that the deficient practice does not recur. | ||||
| A. | The POC specified training/re-training of specified categories of staff. | |||
| B. | The POC identified the title of the training presenter/s. | |||
| C. | The POC indicated the date/s training was presented. | |||
| D. | The POC specified the provisions developed in new or revised facility policies and procedures, if required. | |||
| E | The POC included staffing responsibility changes, if required. | |||
| Comments: | ||||
| Requirements of Deficiency Correction: | Present | Not Present | Not Applicable | |
| IV. The POC describes how the corrective action(s) will be monitored to ensure the deficient practice will not recur, i.e., what quality assurance program will be put into place. The POC must be implemented, evaluated for effectiveness, and integrated into the QA program. | ||||
| A. | The POC described a system of monitoring at defined intervals as appropriate. | |||
| B. | Performance is tracked and reported to the QA Committee quarterly for evaluation and further action. | |||
| C. | The POC specified the title of the person/s responsible for the monitoring. | |||
| Comments: | ||||
| Requirements of Deficiency Correction: | Present | Not Present | Not Applicable | |
| V. The POC includes dates when corrective action(s) will be completed. | ||||
| Comments: |
