- To ensure that facilities are properly addressing the deficient practice, the PoC must be specific, realistic, and complete. The PoC must state exactly how the deficient practice has been or will be corrected.
- A general statement indicating that compliance has been achieved or will be achieved is not acceptable. The PoC must identify the nature of the corrective action (i.e., how the corrective action will address the concerns identified in the CMS-2567 or DADS-3724).
- The PoC must identify what systematic changes will be made to ensure that the deficient practice will not recur and how the facility will monitor its corrective action to ensure that the deficient practice remains corrected (i.e., what quality assurance program will be put into place).