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PRINTED: 07/07/2022 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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The SD DCH-OLC is a form used for reporting certain financial and operational information related to construction and development activities in specific jurisdictions.
Entities engaged in construction, development, or operational activities that fall under the jurisdiction requiring this report must file the SD DCH-OLC.
To fill out the SD DCH-OLC, applicants need to provide accurate details of their operations, financial information, and any relevant documentation as required by the specific filing instructions.
The purpose of the SD DCH-OLC is to ensure compliance with regulatory requirements, provide transparency in operations, and facilitate oversight by relevant authorities.
Information that must be reported includes operational details, financial performance, project specifics, and any other data mandated by the filing regulations.
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