Make your plan of correction:

• specific;
• realistic; and
• complete.

Identify how the corrective action will address the concerns noted on the statement of violations or deficiencies. A general statement indicating that compliance has been achieved or will be achieved is not acceptable. The plan of correction must state exactly how the deficient practice has been or will be corrected.

Identify the systemic changes that will be made to ensure that the problem does not recur.

Specify how you will monitor the corrective action.