Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Actual harm means the deficiency resulted in a negative outcome that compromised the resident's ability to maintain or reach his or her highest practicable physical, mental, or psychosocial well-being.
CMS uses a scope/severity grid (A through L). Letters A-F indicate no actual harm, G-I indicate actual harm, and J-L indicate immediate jeopardy. Scope (isolated, pattern, widespread) is encoded in the same letter.
Corrected on 2023-11-07.Deficient, Provider has date of correction