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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTIONPRINTED:11/9/2020 FORM APPROVED OMB NO. 09380391 (X3) DATE SURVEY COMPLETED(X1)

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Who needs nursing home survey report?

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Nursing home administrators

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State regulatory agencies

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Healthcare quality improvement organizations

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Insurance providers

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Patients and their families

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What is nursing home survey report?

Nursing home survey report is a document that provides detailed information about the quality of care provided at a nursing home facility.

Who is required to file nursing home survey report?

Nursing home administrators or designated staff members are required to file the nursing home survey report.

How to fill out nursing home survey report?

The nursing home survey report can be filled out by providing accurate and complete information about the facility's care practices, policies, and resident outcomes.

What is the purpose of nursing home survey report?

The purpose of the nursing home survey report is to ensure that nursing homes are providing quality care and meeting regulatory requirements.

What information must be reported on nursing home survey report?

The nursing home survey report must include information such as staffing levels, resident health outcomes, infection control practices, and quality improvement initiatives.

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