What will the survey team send the administrator if the facility is found substantially in compliance with only minor issues?

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When a survey team determines that a facility is substantially in compliance with only minor issues, they will send a notice of isolated deficiencies to the administrator. This notice serves as documentation of the specific minor areas where the facility does not fully meet regulatory standards, yet it acknowledges that the overall compliance status is largely satisfactory.

The purpose of a notice of isolated deficiencies is to inform the administrator about the minor issues identified during the survey, allowing the facility to address these areas while maintaining its substantial compliance status. This approach highlights the facility's strengths while providing constructive feedback for improvement without implying a need for significant corrections or major overhauls.

In contrast, a notice of compliance is issued when no deficiencies are found, while an action plan would be required if significant deficiencies were identified, necessitating corrective measures. A survey summary is typically a general report outlining the results of the survey without the detailed focus on specific deficiencies. By issuing a notice of isolated deficiencies, the survey team recognizes the facility's overall compliance while also addressing areas that require attention.

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