The deficient practice statement indicates the part of the requirement that is not met. It summarizes the issues that demonstrate the agency's actions or failures to act that resulted in noncompliance with the requirement.

It also indicates the extent of the deficient practice. This is the number of clients or patients affected or potentially affected by the deficient practice. For example, a deficient practice statement may state that 4 out of 6 clients, or 3 out of 7 patients receiving intravenous care, were affected by the deficient practice.

Example:

This requirement was not met as evidenced by:

Based on a review of the agency's drug policy, the agency's admission packet, and interviews, the agency failed to provide a copy of the agency drug testing policy to 2 of 2 clients (Clients #1 and #2).