Section R. 330.11004 - Determining seriousness of deficienciesRule 11004.
(1) The state medicaid agency shall determine the seriousness of a deficiency for the purpose of selecting enforcement remedies based upon the scope and severity determinations and recommendations of the state survey agency. Scope represents how many residents are or may be affected by a specific deficiency. Severity represents the seriousness of the deficiency on resident outcome.(2) Each scope and severity combination shall be assigned an alphabetic level. The most serious deficiency cited, which is based on the level of severity first, and then scope shall determine the category or categories of remedies that shall be applied.(3) Any of the following additional factors may be included in the selection of remedies: (a) Whether the deficiency poses immediate jeopardy to the residents health or safety.(b) The relationship of one deficiency to other deficiencies.(c) The facilitys compliance history.(d) The likelihood that the selected remedy will achieve correction and continued compliance.Mich. Admin. Code R. 330.11004