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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER / SUPPLIER (X2) MULTIPLE CONSTRUCTION / CIA A. BUILDING
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How to fill out nursing home survey report:

01
Start by thoroughly reviewing the guidelines and instructions provided for filling out the nursing home survey report. Familiarize yourself with the format and structure of the report.
02
Begin by entering the necessary demographic information about the nursing home, such as its name, address, and contact details. This helps identify the specific facility being surveyed.
03
Carefully document any observations and findings during your visit to the nursing home. This may include the overall cleanliness, safety measures, quality of care, staff interactions, and any incidents that occurred during your assessment.
04
Use the provided sections of the survey report to assess different aspects of the nursing home, such as residents' rights, infection control procedures, medication management, and staff training. Answer each question thoroughly and accurately.
05
Utilize any scoring systems provided in the survey report to rate the nursing home's performance in each area. This helps provide a standardized evaluation of the facility's quality of care.
06
Provide detailed and specific comments when necessary. If you identify any areas of concern or areas that require improvement, explain them clearly and offer suggestions for how the nursing home can address these issues.
07
Remember to include both positive and negative observations in your survey report. Highlighting areas of excellence and good practices helps recognize the nursing home's strengths, while also providing opportunities for improvement.

Who needs nursing home survey report:

01
Nursing home administrators and owners often require survey reports to assess the performance and compliance of their facilities. These reports help identify strengths and areas needing improvement to enhance the quality of care provided.
02
State health departments and regulatory agencies utilize nursing home survey reports to monitor and enforce compliance with health and safety standards. The reports aid in identifying issues that require intervention or additional oversight.
03
Families and individuals considering nursing home care for themselves or their loved ones may also benefit from accessing survey reports. The reports provide objective information on the quality and safety of different nursing homes, aiding in the decision-making process.
04
Professional organizations and advocacy groups dedicated to improving the standards of nursing home care may also utilize survey reports to gather data, assess trends, and advocate for policy changes or improvements in the industry.
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The nursing home survey report is a document that reviews the quality of care provided by a nursing home facility.
Nursing home administrators or designated staff members are required to file the nursing home survey report.
The nursing home survey report should be filled out accurately and completely with information regarding the quality of care provided, staffing levels, and any deficiencies found during inspections.
The purpose of the nursing home survey report is to ensure that nursing home facilities are meeting the required standards of care for their residents.
Information such as staffing levels, quality of care provided, any deficiencies found during inspections, and plans for improvement must be reported on the nursing home survey report.
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