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PRINTED: 07/30/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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How to fill out nc dhsr licensed facilitiesnc

01

Step 1: Gather all necessary documents and information such as facility name, address, contact information, and facility type.

02

Step 2: Visit the North Carolina Department of Health and Human Services (DHHS) website.

03

Step 3: Navigate to the DHHS Division of Health Service Regulation (DHSR) section.

04

Step 4: Look for the 'Licensed Facilities' section and click on it.

05

Step 5: Review the information and guidelines provided for filling out the application.

06

Step 6: Download the application form and fill it out completely and accurately.

07

Step 7: Ensure all required supporting documents are attached with the application.

08

Step 8: Double-check the application form and attached documents for any errors or omissions.

09

Step 9: Submit the completed application form and supporting documents to the designated DHHS office.

10

Step 10: Wait for the DHHS to review the application and communicate any additional requirements or clarification needed.

11

Step 11: Once the application is approved, you will receive your NC DHSR licensed facility certification.

Who needs nc dhsr licensed facilitiesnc?

01

Anyone who intends to operate a healthcare or human service facility in North Carolina needs NC DHSR licensed facilities. These facilities include but are not limited to hospitals, nursing homes, assisted living facilities, adult care homes, home health agencies, hospice agencies, mental health providers, substance abuse treatment facilities, and other similar establishments. This licensing ensures that these facilities meet the required standards and regulations to provide quality care and services to the residents of North Carolina.

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What is nc dhsr licensed facilitiesnc?

NC DHSR Licensed FacilitiesNC refers to facilities in North Carolina that are licensed by the Department of Health Service Regulation.

Who is required to file nc dhsr licensed facilitiesnc?

Any facility in North Carolina that is licensed by the Department of Health Service Regulation is required to file NC DHSR Licensed FacilitiesNC.

How to fill out nc dhsr licensed facilitiesnc?

NC DHSR Licensed FacilitiesNC can be filled out online through the Department of Health Service Regulation's website or by submitting a paper form directly to the department.

What is the purpose of nc dhsr licensed facilitiesnc?

The purpose of NC DHSR Licensed FacilitiesNC is to ensure that licensed facilities in North Carolina are meeting the necessary health and safety regulations.

What information must be reported on nc dhsr licensed facilitiesnc?

Information such as facility name, location, type of services provided, number of residents/patients, and any violations or citations received must be reported on NC DHSR Licensed FacilitiesNC.

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