In addition to the four core requirements, the plan of correction must also comply with the following:

• The plan of correction must also be dated and signed by the administrator or other authorized official.

• The plan of correction must not include proper names, allude to another provider, or malign an individual according to the State Operations Manual 2728B.

• It is acceptable to use staff designated titles, e.g., the agency LVNs, the supervising nurse, the medical director, the administrator, the supervisor, etc.