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PRINTED: 05/09/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out nc dhsr licensed facilitiesdivision

How to fill out nc dhsr licensed facilitiesdivision
01
To fill out the NC DHSR Licensed Facilities Division, follow these steps:
02
Start by gathering all the necessary information and documents required for the application. This may include licensing forms, background checks, financial records, and facility information.
03
Complete the application form accurately and completely. Make sure to provide all the requested information, including contact details, facility address, and any additional required details.
04
Attach all the supporting documents and records to the application. This may include proof of insurance, zoning permits, fire safety certificates, and staff credentials.
05
Double-check the application to ensure all information is accurate and all required fields are filled out properly.
06
Submit the completed application along with the required fees to the NC DHSR Licensed Facilities Division. You may need to mail it or submit it electronically, depending on the instructions provided.
07
Wait for the application to be processed. This may take some time, so be patient. If any additional information or documents are needed, you will be contacted by the licensing division.
08
Once your application is processed and approved, you will receive your NC DHSR license for the licensed facility.
Who needs nc dhsr licensed facilitiesdivision?
01
Any individual or organization in North Carolina that plans to operate a licensed facility needs the NC DHSR Licensed Facilities Division. This includes but is not limited to:
02
- Nursing homes
03
- Assisted living facilities
04
- Adult care homes
05
- Hospitals
06
- Rehabilitation centers
07
- Hospice facilities
08
- Mental health facilities
09
- Home health agencies
10
- Dialysis centers
11
- Ambulatory surgery centers
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- Intermediate care facilities for individuals with intellectual disabilities
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The licensed facility division ensures that these facilities meet state regulations and maintain the necessary licenses to provide safe and quality care to their residents or patients.
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What is nc dhsr licensed facilitiesdivision?
The nc dhsr licensed facilitiesdivision is a division within the North Carolina Department of Health and Human Services that oversees licensing for healthcare facilities.
Who is required to file nc dhsr licensed facilitiesdivision?
Healthcare facilities in North Carolina are required to file with the nc dhsr licensed facilitiesdivision.
How to fill out nc dhsr licensed facilitiesdivision?
To fill out the nc dhsr licensed facilitiesdivision, facilities must provide detailed information about their operations and compliance with regulations.
What is the purpose of nc dhsr licensed facilitiesdivision?
The purpose of the nc dhsr licensed facilitiesdivision is to ensure healthcare facilities in North Carolina meet state licensing requirements and provide quality care.
What information must be reported on nc dhsr licensed facilitiesdivision?
Facilities must report information such as staff credentials, facility operations, and patient care practices on the nc dhsr licensed facilitiesdivision.
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