Plan of Correction Elements

An acceptable PoC must contain the following elements:

  1. The plan of correcting the specific deficiency. The plan should address the processes that led to the deficiency cited;
  2. The procedure for implementing the acceptable PoC for the specific deficiency cited;
  3. The monitoring procedure to ensure that the PoC is effective and that the specific deficiency cited remains corrected and/or in compliance with the regulatory requirements; and
  4. The title of the person responsible for implementing the acceptable PoC.

Note: Survey and Certification (S&C) 17-34, released June 16, 2017, included new guidance on what elements an acceptable PoC must contain. The title of the letter is New Guidance for the Formatting of the Plans of Correction, and you can access it by clicking S&C 17-34.