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This document provides a summary of deficiencies found during a state relicensure survey of the Ambulatory Surgery Center of Union County, along with the required plan of correction for compliance.
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How to fill out state relicensure survey report
How to fill out State Relicensure Survey Report
01
Gather all necessary information regarding the facilities and programs offered.
02
Review the previous State Relicensure Survey Report for reference.
03
Fill out each section of the report according to the guidelines provided by the state agency.
04
Ensure all data is accurate and up-to-date, including staffing, services provided, and compliance with regulations.
05
Attach any required supporting documents, such as policies or additional reports.
06
Double-check for completeness and accuracy before submission.
07
Submit the report by the specified deadline to the appropriate state agency.
Who needs State Relicensure Survey Report?
01
Any healthcare facility seeking to renew its state license.
02
Facilities required to maintain compliance with state regulations.
03
Organizations that provide care services and need to demonstrate adherence to state standards.
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For an E-mail Response: Contact Us. Phone: 518-474-3817, Press 1 then ext. 410. Fax: 518-474-3004. Write: Office of the Professions, Registration Unit, State Education Building - 2nd Floor, Albany, NY 12234.
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What is State Relicensure Survey Report?
The State Relicensure Survey Report is a document that evaluates a healthcare facility's compliance with state regulations and standards, typically conducted before a facility can be relicensed.
Who is required to file State Relicensure Survey Report?
Healthcare facilities that are seeking relicensure, such as hospitals, nursing homes, and assisted living facilities, are required to file the State Relicensure Survey Report.
How to fill out State Relicensure Survey Report?
To fill out the State Relicensure Survey Report, facilities need to accurately provide information regarding their operations, compliance with state regulations, and any necessary supporting documentation.
What is the purpose of State Relicensure Survey Report?
The purpose of the State Relicensure Survey Report is to ensure that healthcare facilities meet minimum health and safety standards before they are permitted to continue or renew their licensure.
What information must be reported on State Relicensure Survey Report?
The report must include information such as facility operations, staffing levels, patient care practices, compliance with health regulations, and any incidents or deficiencies noted during the reporting period.
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