When a survey ends with deficiencies or an Immediate Jeopardy finding, you have a very short window to respond. We write Plans of Correction that work — and we respond to Immediate Jeopardy within hours.
After a regulatory survey with deficiencies, CMS gives organizations just 10 days to submit a Plan of Correction. For Immediate Jeopardy findings — which indicate a patient is at risk of serious harm — the response must begin before the surveying team even leaves the building. A weak Plan of Correction means re-surveys, higher penalties, and potential loss of accreditation.
Summit QCG writes Plans of Correction that go beyond surface fixes. We dig into the root cause of each deficiency, design lasting systemic corrections, and build the evidence package that regulators need to see. For Immediate Jeopardy situations, we can be on-site within 24 hours.
We craft every required element — root cause analysis, corrective actions, monitoring plans, and staff education documentation — in the format regulators require.
IJ findings are emergencies. We mobilize immediately to help you demonstrate abatement and protect your accreditation.
We help you build the strongest possible response to minimize civil money penalties and enforcement escalation.
When surveyors return to verify your corrections, we make sure your team and your evidence are ready.
Surface fixes fail revisits. We identify the underlying systems issues that caused the deficiency and correct those — not just the symptom.
Your Plan of Correction is accepted the first time. Your revisit survey passes.
Schedule a free 30-minute consultation with Dr. Dan Twizelimana to discuss your organization’s needs.
