Other Plan of Correction Issues (part 5)

 

It is possible for agencies to receive multiple documents due to the multiple purposes of visits. The documents may include the same tags or different tags. Each document received requires a plan of correction.

  • An example may be that during a complaint investigation, Z203 was cited. Three months later, at the annual licensure survey, Z203 was noted to be uncorrected and was re-cited.
  • One Form 3724 will be generated for the follow-up to the complaint investigation, and another one will be generated for the licensure inspection. A plan of correction will be required for both of the Form 3724s; however, the agency can use the same plan of correction for both Form 3724s.

It is acceptable to reference the plan of correction for different deficiencies or violations if the corrective action is identical. For example: The plan of correction for Z149 may state "Refer to Z147."

Issues