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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G71506/03/2016FORM
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01
Review the federal and state regulations to understand the requirements for filling out substantiated deficiencies.
02
Gather all necessary documentation and evidence to support the identified deficiencies.
03
Document the deficiencies in a clear and concise manner, including details about the violation, the regulation it pertains to, and any corrective actions that have been taken or plan to be taken.
04
Communicate the findings to the appropriate authorities and stakeholders.
05
Follow up on the deficiencies and ensure that they are addressed properly and in a timely manner.

Who needs substantiated federalstate deficiencies?

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Healthcare facilities
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Long-term care facilities
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Hospitals
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Assisted living facilities
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Other organizations that are subject to federal and state regulations regarding healthcare quality and safety
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Substantiated federalstate deficiencies refer to specific deficiencies identified in the reporting of state and federal compliance by entities, indicating that they have not met certain regulatory standards or requirements.
Entities that receive federal or state funding or that are subject to federal and state compliance requirements are typically required to file substantiated federalstate deficiencies.
To fill out substantiated federalstate deficiencies, an entity must provide detailed information regarding the deficiencies, including descriptions, dates, and the actions taken to correct them, along with any relevant supporting documentation.
The purpose of substantiated federalstate deficiencies is to ensure compliance with federal and state regulations and to facilitate the timely correction of issues that may affect funding or operational effectiveness.
The information that must be reported includes the nature of the deficiency, the impact it has on compliance, corrective actions taken or proposed, and any relevant timelines or deadlines.
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