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PLAN OF CORRECTION (SAMPLE) - KDHE

plan OF CORRECTION (SAMPLE)Provider/Supplier Name:Oldtown Community HospitalSurvey DateSTREET ADDRESS, CITY, ZIP:321 Main Street, Oldtown 6660005/21/2009 (X1) PROVIDER/SUPPLIER/CLIA INDENTIFICATION NUMBER 17-1981(X4) ID PREFIX TAG PROVIDER'S plan OF CORRECTION (EACH CORRECTIVE ACTION SHOULD BE CROSS- REFERRENCED TO THE APPROPRIATE DEFICIENCY)(X5) COMPLETION DATEA043 Keys were hung on 5/11/09; however, the locks were then removed from the obstetrics department. The Maintenance Supervisor will conduct inspections to ensure that locks are not replaced.

PLAN OF CORRECTION (SAMPLE) Provider/Supplier Name: Oldtown Community Hospital Survey Date STREET ADDRESS, CITY, ZIP: 321 Main Street, Oldtown 66600 05/21/2009 (X1) PROVIDER/SUPPLIER/CLIA INDENTIFICATION NUMBER 17-1981 (X4) ID PREFIX

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