Get the free NC DHSR CONSTR: Statement Of Deficiency - info.ncdhhs.gov

PRINTED: 04/28/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

How to fill out nc dhsr constr statement

How to fill out nc dhsr constr statement

1. To fill out the NC DHSR Constr Statement, follow these steps:
2. Begin by providing general project information, including the project name, address, and contact information.
3. Identify the project type and indicate whether it is a new construction or renovation project.
4. Specify the estimated project cost and indicate the funding sources for the project.
5. Provide a detailed description of the project scope and objective.
6. Include information about the architect, engineers, and contractors involved in the project.
7. Outline the project schedule and indicate the proposed start and completion dates.
8. Describe any potential environmental impact or hazardous materials involved in the project.
9. Indicate if there are any special considerations or requirements for the project.
10. Attach any necessary supporting documents, such as site plans, floor plans, and construction drawings.
11. Review the completed form for accuracy and completeness before submission.

Who needs nc dhsr constr statement?

1. The NC DHSR Constr Statement is required for individuals or organizations involved in construction or renovation projects that require approval from the North Carolina Department of Health and Human Services, Division of Health Service Regulation (DHSR). This includes architects, engineers, contractors, and any other parties responsible for overseeing or implementing construction projects in North Carolina.

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What is nc dhsr constr statement?

NC DHSR Constr Statement stands for North Carolina Division of Health Service Regulation Construction Statement.

Who is required to file nc dhsr constr statement?

Any individual or organization involved in the construction, renovation or alteration of healthcare facilities in North Carolina is required to file the NC DHSR Constr Statement.

How to fill out nc dhsr constr statement?

The NC DHSR Constr Statement can be filled out and submitted online through the NC Division of Health Service Regulation website.

What is the purpose of nc dhsr constr statement?

The purpose of the NC DHSR Constr Statement is to ensure compliance with regulations and guidelines for healthcare facility construction in North Carolina.

What information must be reported on nc dhsr constr statement?

The NC DHSR Constr Statement requires reporting of project details, timelines, budgets, contractors involved, and compliance with healthcare facility guidelines.