Section 390.280  Reports of Correction

a)         In lieu of submitting a plan of correction, a facility may submit a report of correction if the corrective action has been completed.  The report of correction shall be submitted within the time periods required in Section 390.278 for submission of a plan of correction.

b)         Each report of correction shall be based on an assessment by the facility of the conditions or occurrences that are the basis of the violation and an evaluation of the practices, policies, and procedures that have caused or contributed to the conditions or occurrences. Evidence of the assessment and evaluation shall be maintained by the facility.  Each report of correction shall include:

1)         A description of the specific corrective action the facility has taken to abate, eliminate, or correct the violation cited in the notice.

2)         A description of the steps taken to avoid future occurrences of the same and similar violations.

3)         The specific date on which the corrective action was completed.

4)         A signed statement by the administrator of the facility that the report of correction is true and accurate, which shall be considered an oath for the purposes of any legal proceedings.

c)         Submission of a report of correction shall not be considered an admission by the facility that the violation has occurred.

d)         The Department shall review and approve or disapprove the report of correction based on the criteria outlined in this Section for review of plans of correction.  If a report of correction is disapproved, the facility shall be subject to a plan of correction imposed by the Department as provided in Section 390.278.

e)         The Department will verify the completion of the corrective action outlined in the report of correction during subsequent investigations, surveys, and evaluations of the facility.

(Source:  Amended at 43 Ill. Reg. 3564, effective February 26, 2019)