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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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Read the instructions provided with the survey report.
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Gather all necessary information and materials required to fill out the report.
03
Begin by providing basic information such as the patient's demographic details.
04
Answer each question in the survey report accurately and honestly.
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Who needs nursing home survey report?

01
Healthcare professionals working in nursing homes.
02
Nursing home administration staff.
03
Government regulatory agencies overseeing nursing homes.
04
Researchers and analysts studying nursing home quality.
05
Families and individuals considering a nursing home for a loved one.
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Advocacy groups focused on nursing home care and quality.
07
Insurance companies evaluating nursing home services.
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Legal professionals involved in nursing home litigation.
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Academic institutions offering courses or programs related to eldercare.
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Nursing home survey report is a document that provides detailed information about the quality of care and services provided at a nursing home.
Nursing home administrators are required to file the nursing home survey report.
The nursing home survey report is typically filled out by conducting inspections, interviews, and reviews of documentation.
The purpose of the nursing home survey report is to ensure that nursing homes are providing quality care to their residents.
The nursing home survey report must include information on staffing levels, resident care plans, and any deficiencies found during the inspection.
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