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PRINTED: 08/19/2020 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 novel coronavirus covid-19

01

Wash your hands frequently with soap and water for at least 20 seconds.

02

Use hand sanitizer with at least 60% alcohol if soap and water are not available.

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Wear a face mask when in public or around others.

04

Practice social distancing by staying at least 6 feet away from others.

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Cover your mouth and nose with a tissue or your elbow when coughing or sneezing.

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Clean and disinfect frequently touched surfaces daily.

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Stay home if you are feeling unwell or have been in contact with someone who has tested positive for COVID-19.

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Follow guidelines and recommendations from health authorities.

Who needs novel coronavirus covid-19?

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Any individual who is concerned about contracting or spreading the novel coronavirus COVID-19 should take precautions and follow guidelines to protect themselves and others.

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What is novel coronavirus covid-19?

Novel coronavirus covid-19 is a contagious respiratory illness caused by a newly discovered coronavirus.

Who is required to file novel coronavirus covid-19?

Healthcare providers, hospitals, clinics, and testing facilities are required to report cases of novel coronavirus covid-19.

How to fill out novel coronavirus covid-19?

Cases of novel coronavirus covid-19 can be filled out electronically through designated reporting systems or forms provided by health authorities.

What is the purpose of novel coronavirus covid-19?

The purpose of reporting novel coronavirus covid-19 is to track and monitor the spread of the virus, facilitate contact tracing, and implement necessary public health measures.

What information must be reported on novel coronavirus covid-19?

Information such as patient demographics, symptoms, test results, and potential exposures must be reported on novel coronavirus covid-19.

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