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PRINTED: 03/03/2017 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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01
Step 1: Obtain a copy of the NC DHSR Licensed Facilities Home application form.
02
Step 2: Read the instructions carefully to understand the requirements and gather the necessary documents.
03
Step 3: Fill out the application form with accurate and complete information. Provide details about the facility, its location, and the services it offers.
04
Step 4: Attach any supporting documents required, such as certifications, licenses, or proof of compliance with state regulations.
05
Step 5: Review the completed application form and supporting documents to ensure everything is filled out correctly.
06
Step 6: Submit the application form and supporting documents to the relevant authority or department responsible for licensing NC DHSR Facilities Homes.
07
Step 7: Pay any required fees or provide proof of payment along with the application.
08
Step 8: Await notification from the licensing authority regarding the status of the application. Follow up if necessary.
09
Step 9: Once the facility is licensed, ensure ongoing compliance with state regulations and regularly renew the license as required.

Who needs nc dhsr licensed facilitieshome?

01
Any individual or organization planning to operate or provide services in a North Carolina DHSR Licensed Facilities Home needs to go through the licensing process.
02
This can include residential care facilities, nursing homes, assisted living facilities, adult care homes, and other types of long-term care facilities.
03
The licensing process ensures that such facilities meet state regulations and provide a safe and suitable environment for residents or clients.
04
Individuals or organizations intending to serve vulnerable populations or provide specialized care may be particularly interested in obtaining a NC DHSR Licensed Facilities Home license.
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North Carolina Department of Health Service Regulation (DHSR) licensed facilities are long-term care facilities that have met certain state requirements and are licensed to provide services to individuals who require assistance with daily living activities.
The administrators or managers of DHSR licensed facilities are required to file the necessary paperwork with the state regulatory agency.
The form can be filled out electronically or manually, with information about the facility's operations, services provided, staff qualifications, and resident demographics.
The purpose of filing the nc dhsr licensed facilitieshome form is to ensure compliance with state regulations and to provide transparency about the quality of care provided in these facilities.
Information such as staffing levels, resident demographics, number of incidents, and any violations of regulations must be reported on the nc dhsr licensed facilitieshome form.
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