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PRINTED: 01/23/2018 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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Review the regulations and guidelines for the specific area being inspected to ensure compliance.
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Thoroughly inspect the facility or operation to identify any potential deficiencies.
03
Address and correct any deficiencies found during the inspection in a timely manner.
04
Document all corrective actions taken to fix deficiencies.
05
Schedule a follow-up inspection to ensure that all deficiencies have been resolved.
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No deficiencies were cited means that during an inspection or evaluation, no areas were found to have deficiencies or violations.
Entities undergoing inspections or evaluations are required to file a report stating that no deficiencies were cited.
To fill out a no deficiencies were cited report, simply document that no deficiencies were found during the inspection or evaluation.
The purpose of stating no deficiencies were cited is to confirm that the entity is compliant with regulations and standards.
The report should include details of the inspection or evaluation, the date it took place, and a statement confirming no deficiencies were found.
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