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PRINTED: 07/26/2016 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 dhhs facilitieshome nc

01
Visit the NC DHHS FacilitiesLicensure & Certification Section website.
02
Locate the 'Forms' section on the website.
03
Download the 'Facilities Home Submission Form'.
04
Fill out all required information on the form.
05
Submit the completed form to the designated DHHS office.

Who needs nc dhhs facilitieshome nc?

01
Any individual or organization that operates a healthcare facility in North Carolina and needs to submit information to the NC DHHS FacilitiesLicensure & Certification Section.
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The nc dhhs facilitieshome nc is a form used by facilities regulated by the North Carolina Department of Health and Human Services to report certain information.
Any facility that is regulated by the North Carolina Department of Health and Human Services is required to file the nc dhhs facilitieshome nc form.
The nc dhhs facilitieshome nc form can be filled out online or submitted through mail. Facilities need to provide specific information about their operations and residents.
The purpose of the nc dhhs facilitieshome nc form is to ensure that regulated facilities are in compliance with state regulations and to provide oversight of the care provided to residents.
Facilities need to report information such as the number of residents, staff-to-resident ratios, any incidents or complaints, and any changes in ownership or management.
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