Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Immediate jeopardy means the deficiency caused, or is likely to cause, serious injury, harm, impairment, or death to a resident. CMS treats these as the most serious findings.
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 2023-05-06.Deficient, Provider has date of correction