Regulatory Services' Determination

Whether the PoC is submitted in the allotted time or not, Regulatory Services will determine whether the PoC is acceptable. If the PoC is unacceptable, the facility will then have an opportunity to submit a revised PoC.

If a facility submits an unacceptable PoC, the regional survey office will contact the facility to convey the following:

Being acceptable means that the four elements are included as a part of the PoC for each deficiency.

If this requirement is not met, administrative penalties could be assessed.