More than Correcting Deficiencies
Developing a successful PoC involves more than just reading a deficiency and developing a plan to correct it.
It requires the provider to analyze the statement of deficiencies and determine the underlying problem that generated the deficiency/violation.
Compliance will be achieved and maintained when systems are in place for each type of service and when the facility consistently monitors its practices and makes adjustments as necessary.
When a system or part of the system is not working, it is the facility's responsibility to recognize and correct the problem, preferably before the survey team identifies a deficient practice.
When a deficient practice is identified and cited, the provider is required to correct the identified deficient practice and ensure that it does not reoccur.