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PRINTED: 06/22/2020 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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Who needs online statement of deficiencies?

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Healthcare organizations, facilities, or providers that are required to report deficiencies in their services to regulatory bodies.

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Individuals responsible for quality assurance and compliance within healthcare settings.

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What is online statement of deficiencies?

The online statement of deficiencies is a report that outlines areas in which a facility is not in compliance with regulations or standards.

Who is required to file online statement of deficiencies?

Healthcare facilities such as hospitals, nursing homes, and clinics are required to file online statements of deficiencies.

How to fill out online statement of deficiencies?

Online statements of deficiencies can be filled out by accessing the designated online portal provided by regulatory agencies.

What is the purpose of online statement of deficiencies?

The purpose of online statements of deficiencies is to ensure that healthcare facilities are meeting regulatory standards and provide a mechanism for monitoring and improving quality of care.

What information must be reported on online statement of deficiencies?

Information such as the specific deficiencies identified, plans for correction, and follow-up actions must be reported on online statements of deficiencies.

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