TX HHS Form 3708. Regulatory Services NF. ALF and ICF/IID Amelioration Request

The TX HHS Form 3708, Regulatory Services NF, ALF and ICF/IID Amelioration Request, is a crucial document for facilities seeking to address specific violations or issues. This form helps facilities demonstrate their commitment to improving compliance and resolving concerns related to Nursing Facilities (NF), Assisted Living Facilities (ALF), and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID).

The form requires facilities to provide detailed information about themselves, including facility name, ID number, inspection exit date, and administrator contact details. Additionally, facilities must disclose their plan for funding the proposed amelioration, outlining the source and availability of funds. This information is essential for regulatory services to assess the facility's commitment to resolving violations and improving compliance.

To request amelioration, facilities must adhere to specific conditions: the proposal cannot be offered more than three times in a two-year period or more than one time for the same or similar violation. By completing this form, facilities demonstrate their willingness to take corrective action and improve their regulatory standing. Key points to note include:

• The form is used by facilities seeking to address specific violations or issues.
• Facilities must provide detailed information about themselves and their plan for funding the proposed amelioration.
• The proposal cannot be offered more than three times in a two-year period or more than one time for the same or similar violation.