Received Survey Findings? Time Is Critical.
Plans of Correction have strict submission deadlines — and what you submit is a binding commitment to your regulatory agency. Contact CMSCG now to discuss your situation.
Plan of Correction Assistance
A Plan of Correction isn't a document you write to satisfy a checkbox. It's a binding commitment to your regulatory agency — one that describes exactly what went wrong, why it happened, what you've already done to fix it, how you're going to prevent it from happening again, and who is responsible for monitoring that over time. Your regulatory agency has read thousands of them. They know the difference between a genuine corrective action and a template.
CMSCG provides Plan of Correction development and implementation support for post-acute and long-term care providers across every provider type we serve. Whether you're facing a routine survey outcome, a directed Plan of Correction, an Immediate Jeopardy, or a rejected POC, we bring the experience and regulatory knowledge needed to develop a response that gets accepted — and actually prevents repeat deficiencies.
What We Provide
Plan of Correction Services
CMSCG's POC assistance covers every phase of the post-survey response — from initial deficiency analysis through corrective action implementation and revisit preparation.
Deficiency Analysis & Root Cause
Before a strong POC can be written, you need to understand what actually happened — not just what the surveyor cited. CMSCG analyzes each deficiency to identify the true root cause, which drives both the corrective action and the monitoring plan.
- Citation-by-citation deficiency review
- Root cause analysis for each cited area
- Systemic issue identification
- Prioritization of corrective actions by risk
- Assessment of what the survey agency expects to see
Plan of Correction Development
CMSCG develops Plans of Correction that are specific to your facility, your staff, and your situation — not generic templates that regulatory agencies immediately recognize as boilerplate. Every POC we develop is grounded in a genuine understanding of what happened and what your agency expects.
- POC writing for each cited deficiency
- Root cause language specific to your facility
- Realistic corrective actions given your operational constraints
- Monitoring and auditing steps your team can actually execute
- Language and structure aligned to your agency's expectations
- Timeline development and management
Directed Plan of Correction Support
When a regulatory agency issues a Directed Plan of Correction — dictating the specific corrective actions required — CMSCG helps facilities understand what's required, implement the directed actions effectively, and document compliance in the way the agency expects.
- Review and interpretation of directed requirements
- Implementation planning and support
- Staff education on directed corrective actions
- Documentation of implementation for agency review
- Monitoring and follow-up support
IDR & IIDR Assistance
When a deficiency citation is factually incorrect or the scope and severity assigned is inconsistent with the evidence, CMSCG assists facilities with the Informal Dispute Resolution and Independent Informal Dispute Resolution processes — developing the clinical and regulatory argument for challenging the citation.
- Citation review and dispute assessment
- IDR and IIDR written response development
- Clinical and regulatory argument development
- Documentation review and organization
- Guidance on IDR/IIDR process and timelines
Corrective Action Implementation
A POC that gets accepted is only half the work. CMSCG helps facilities implement corrective actions — updating policies, retraining staff, strengthening systems, and building the documentation trail that demonstrates sustained compliance on revisit.
- Policy and procedure revision
- Staff education and retraining
- Systems improvement and redesign
- Audit tool development and implementation
- Ongoing monitoring and progress tracking
Revisit Readiness Preparation
When surveyors return to verify corrective action, you need to demonstrate that what you promised actually happened — and that it worked. CMSCG prepares facilities for revisit surveys by confirming that corrective actions are implemented, documented, and sustainable.
- Pre-revisit compliance verification
- Documentation review and organization
- Staff preparation and coaching
- Gap identification before surveyors arrive
- Ongoing monitoring support post-revisit
Provider Types
POC Assistance Across Every Provider Type
The post-survey response process varies significantly by provider type and regulatory agency. CMSCG understands the specific requirements, expectations, and nuances of each — and develops POC responses that reflect that knowledge.
Nursing Homes & Skilled Nursing Facilities
Nursing home Plans of Correction are submitted to the state survey agency on behalf of CMS — and the stakes are high. Deficiencies accumulate on your record for three years, affect your Five-Star rating and Health Inspection score, and can trigger enforcement action up to and including termination from Medicare and Medicaid. For facilities facing standard survey outcomes, Immediate Jeopardies, Directed Plans of Correction, or Special Focus Facility status, CMSCG provides the experience and regulatory knowledge needed to develop a response that gets accepted — and actually prevents repeat deficiencies.
View Nursing Home Services →Assisted Living Providers
Assisted living is state-regulated — and the post-survey response process, timelines, and agency expectations vary by state. CMSCG's AL POC assistance is tailored to the specific regulatory framework of each state we serve, including New York's ALR, EALR, SNALR, and ALP program types.
View Assisted Living Services →Home Health Agencies
Home health POC development requires specific knowledge of the HHA Conditions of Participation and the unique compliance challenges of a care setting where services are delivered in patients' homes. CMSCG assists HHAs with post-survey response across all cited areas.
View Home Health Services →State Veterans Homes
Dually certified State Veterans Homes face two separate post-survey processes — a CMS recertification survey requiring a standard Plan of Correction submitted to the state survey agency, and a VA inspection requiring a Corrective Action Plan (CAP) submitted to the VA. CMSCG's SVH post-survey assistance addresses both tracks, with specific attention to the nuances of each agency's expectations and timeline requirements.
View SVH Services →VA Community Living Centers
VA Community Living Centers respond to inspection findings through the VA's Corrective Action Plan (CAP) process. CMSCG assists CLCs with CAP development, implementation oversight, and the systems improvement work needed to demonstrate sustained improvement to VA reviewers.
View CLC Services →We don’t do generic
A strong POC reflects the specific circumstances of your facility, your staff, and your survey history — not a generic template. We develop corrective actions grounded in your actual operational reality.
We know what gets accepted
CMSCG has developed and submitted Plans of Correction to state survey agencies across the country. We know what regulatory agencies expect to see — and what they send back.
We follow through
CMSCG doesn't just write the POC and disappear. We help implement corrective actions, track progress, and prepare your facility for the revisit — so the promise you made gets kept.
“We’d never seen a Statement of Deficiencies that was that many pages long before. CMSCG’s consultants helped us address each area of concern and assisted us with monitoring the implementation of our Plan of Correction.”
— Executive Director, CCRCReach out today and let’s get started
Whether you received findings yesterday or are preparing for an upcoming revisit — CMSCG can help. Contact us to discuss your situation and how we can support your post-survey response.
Urgent post-survey situation? Call us directly: (631) 692-4422