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PRINTED: 10/28/2020 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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An unannounced covid19 focused is a report that focuses on the impacts of covid19 within a specific organization or community.

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Any organization or entity that has been affected by covid19 is required to file an unannounced covid19 focused.

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An unannounced covid19 focused can be filled out by providing detailed information about the impact of covid19, mitigation measures taken, and future plans.

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The purpose of an unannounced covid19 focused is to assess the impact of the pandemic and develop strategies to address future challenges.

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Information such as number of cases, impact on operations, measures taken to prevent spread, and financial impact must be reported on an unannounced covid19 focused.

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