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PRINTED: 01/06/2022 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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Visit the msdhms.gov website.
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Navigate to the static nursing home section on the site.
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Fill out the required fields such as resident information, facility information, and any other requested details.
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Review the information for accuracy before submitting the form.

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Individuals who are looking to provide information or report on nursing home facilities to the Mississippi Department of Health would need to use the msdhmsgov msdhsite staticnursing home form.
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msdhmsgov msdhsite staticnursing home is a form used to report information about nursing homes to the Mississippi State Department of Health.
Nursing homes in Mississippi are required to file msdhmsgov msdhsite staticnursing home.
To fill out msdhmsgov msdhsite staticnursing home, nursing homes need to provide information about their facility, staff, and residents.
The purpose of msdhmsgov msdhsite staticnursing home is to ensure that nursing homes meet certain standards and regulations set by the Mississippi State Department of Health.
Information such as facility details, staffing levels, resident demographics, and quality measures must be reported on msdhmsgov msdhsite staticnursing home.
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