Examining the Criteria for Plans of Correction

State Operations Manual §3006.5(C)(1)(a-e) requires that an acceptable PoC must include:

  1. How the corrective action will be accomplished for those identified individuals found to have been affected by the deficient practice;
  2. How the facility will identify other individuals having the potential to be affected by the deficient practice and how the facility will act to protect individuals in similar situations;
  3. What measures will be put into place or system changes made to ensure that the deficient practice will not recur;
  4. How the corrective actions will be monitored to ensure the deficient practice is being corrected and will not recur and who will be responsible for monitoring; and
  5. When corrective action will be completed. Must be at least one day past the date of exit.