Assume that the infractions the site review team found at West Wind include three items:

• Noncompliance with fire safety standardsspecifically, an insufficient number of fire extinguishers, inaccessible fire extinguishers, and insufficient testing of fire extinguishers
• Inadequate activities for the residents, activities not sufficiently stimulating, and not enough of them
• Insufficient monitoring of medications provided to patients, resulting in improper dosages being provided to patients at the wrong time

Choose one of the issues above and develop a root cause analysis - use bullet points instead of the traditional format. Then propose a short plan that includes corrective action for the problem, monitoring for compliance, and reporting.