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PRINTED: 12/31/2018 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 no deficiencies were cited

01

Review the inspection report thoroughly to understand the areas that were assessed.

02

Ensure all necessary corrective actions have been taken to address any deficiencies identified during the inspection.

03

Document any additional steps taken to prevent future deficiencies from occurring.

04

Submit any supporting documentation or evidence to demonstrate compliance with the inspection requirements.

05

Request a follow-up inspection to confirm that no deficiencies were cited.

Who needs no deficiencies were cited?

01

Any individual or organization that is subject to an inspection or audit where the absence of deficiencies is a desired outcome.

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What is no deficiencies were cited?

No deficiencies were cited means that during an inspection or evaluation, no problems, issues, or areas of concern were found.

Who is required to file no deficiencies were cited?

Any organization or individual who undergoes an inspection or evaluation and receives a no deficiencies were cited result may be required to file a report or document stating the findings.

How to fill out no deficiencies were cited?

To fill out a report stating that no deficiencies were cited, simply provide a summary of the inspection or evaluation process, the results, and any actions taken as a result.

What is the purpose of no deficiencies were cited?

The purpose of stating that no deficiencies were cited is to show that the organization or individual has met all requirements, standards, or regulations set forth.

What information must be reported on no deficiencies were cited?

The report on no deficiencies were cited should include details of the inspection process, the results, any corrective actions taken if necessary, and the date of the inspection.

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