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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONPRINTED:05/04/2020 FORM APPROVED OMB NO. 09380391 (X3) DATE SURVEY

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Who needs nursing home survey report?

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What is nursing home survey report?

Nursing home survey report is a report that provides information on the quality of care and services provided by a nursing home.

Who is required to file nursing home survey report?

Nursing home administrators or owners are required to file nursing home survey report.

How to fill out nursing home survey report?

Nursing home survey reports can be filled out electronically or in paper format according to the guidelines provided by the state health department.

What is the purpose of nursing home survey report?

The purpose of nursing home survey report is to assess and monitor the quality of care provided by nursing homes to residents.

What information must be reported on nursing home survey report?

Information such as resident care plans, staffing levels, infection control practices, and facility cleanliness must be reported on nursing home survey report.

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