The plan of correction must identify the staff person responsible for any actions or processes implemented.

The plan of correction must identify how corrections will be monitored and the staff person responsible for the monitoring.

Staff who have been determined to have contributed to a deficient practice should not be solely responsible for implementing the corrective action or actions, nor for monitoring the corrective processes or actions.

For example, the administrator should not be solely responsible for implementing the corrective action nor for monitoring corrective processes or actions when noncompliance is cited at the administrator tags.

PoCs must reflect system corrections, not just correction of examples cited on Form 3724 or CMS-2567.