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Surveys, Complaint Investigations, Deficiencies, and Plans of Correction

Sets out how the Agency receives Department surveyors (surveys may be unannounced and follow Medicare standards), what staff do during a survey or complaint investigation, how the Agency answers the deficiency list with a written plan of correction within 10 calendar days of receiving the report, how it may dispute findings, and how corrections are checked and reported to the governing body.

Preview: full text with a package
About this policy
Policy number
MO-HH-GOV-05
Version
1.0
Main rule
19 CSR 30-26.010(2)(E)
Library
Missouri home health · 57 policies
Category
Governance
Sections
19

In short

  • Department surveyors can arrive at the office or join your home visit without notice.
  • Greet them, ask for identification, and tell the Administrator and the clinical manager right away.
  • Answer surveyors' questions truthfully and help them find the records they ask for.
  • The Agency sends a written plan to fix any problems within 10 calendar days of getting the report.
  • Never ask a patient or coworker whether they made a complaint, and never retaliate.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (19 CSR 30-26.010(2)(E))
  • 5. When a Surveyor Arrives
  • 6. Complaint Investigations
  • 7. Plan of Correction
  • 8. Disputing a Finding
  • 9. Public Posting of Survey Results
  • 10. Accreditation
  • 11. Enforcement
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • Who is in charge today, and how quickly can you give us a list of current patients and staff?
  • Show me the plan of correction for your last survey and the evidence that each correction was made and sustained.

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