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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G61912/29/2016FORM
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To fill out a licensure survey conducted on, follow these steps:
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Read the instructions carefully before starting the survey.
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Provide accurate and honest information regarding your licensure status.
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Fill in all the required fields indicated by asterisks (*) with the necessary information.
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Licensure surveys are typically conducted on individuals who hold professional licenses or certifications. These surveys aim to gather information about the licensee's compliance with regulations, continuing education requirements, and overall competency in their field. The exact individuals who need to participate in a licensure survey may vary depending on the industry and regulatory bodies involved. It is typically mandatory for license holders to complete these surveys to maintain their licensure status.
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Licensure survey is conducted on healthcare facilities.
Healthcare facilities are required to file licensure survey.
Licensure survey can be filled out online through a designated portal.
The purpose of licensure survey is to ensure healthcare facilities are meeting regulatory standards.
Information such as staffing levels, patient outcomes, and compliance with regulations must be reported on licensure survey.
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