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PRINTED: 10/12/2021 FORM Approved Jersey Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A. BUILDING:

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Obtain the necessary forms from the Department of Health website or office.

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Fill out the forms completely and accurately, providing all requested information.

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Healthcare providers such as hospitals, nursing homes, clinics, and other health facilities that need to be licensed and regulated by the Department of Health.

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Individuals or organizations looking to open or operate a health facility and need to comply with state regulations.

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What is department of healthhealth facilitieshealth?

The Department of Health, health facilities division, oversees the regulation and licensing of healthcare facilities.

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Healthcare facilities such as hospitals, nursing homes, and clinics are required to file with the department of health.

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Healthcare facilities can fill out the department of health forms online or submit them in person to the department's office.

What is the purpose of department of healthhealth facilitieshealth?

The purpose of the department of health is to ensure that healthcare facilities are meeting state regulations and providing quality care to patients.

What information must be reported on department of healthhealth facilitieshealth?

Healthcare facilities must report information such as patient demographics, staffing levels, and quality of care measures.

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