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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION PRINTED:3/3/2017 FORM APPROVED OMB NO. 09380391 (X3) DATE SURVEY COMPLETED
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Begin by gathering all the necessary information and documents related to the survey.
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Read through each question carefully and understand what information is being requested.
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Provide accurate and detailed answers for each question. Use clear and concise language.
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Who needs nursing home survey report?

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Various individuals and organizations may need a nursing home survey report, including:
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- Government agencies responsible for monitoring and regulating nursing homes.
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- Accreditation organizations evaluating the quality of care provided by nursing homes.
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- Patients and their families who want to assess the quality of a nursing home before making a decision.
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- Legal professionals involved in litigation or disputes related to nursing home care.
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- Researchers studying nursing home practices and outcomes.
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The nursing home survey report is a detailed evaluation of a nursing home's compliance with regulations and standards set by governing bodies.
Nursing home administrators or owners are typically required to file the nursing home survey report.
The nursing home survey report can be filled out by providing detailed information about the facility's operations, staff, resident care, and compliance with regulations.
The purpose of the nursing home survey report is to ensure that nursing homes are providing quality care to their residents and are in compliance with regulations.
Information such as staffing levels, resident care plans, infection control measures, and safety protocols must be reported on the nursing home survey report.
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