Writing Acceptable Plans of Correction for ICFs/IID

Staff Contributing to a Deficient Practice

Staff who have been determined to have contributed to a deficient practice should not be solely responsible for implementing or monitoring the corrective action(s).

For example, the following people should not be solely responsible for implementing or monitoring corrections:

• The QIDP should not be solely responsible for implementing the corrective action or for monitoring corrective processes or actions when noncompliance is cited at the QIDP tag (W159).
• The nurse should not be solely responsible for implementing the corrective action or for monitoring corrective processes or actions when noncompliance is cited at the nursing tags (W331 or W338).
• The administrator should not be solely responsible for implementing the corrective action and for monitoring corrective processes when noncompliance is cited at the governing body tags (W102 or W104).