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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTION06/28/2011FORM APPROVEDIDENTIFICATION
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01
Review the state deficiency report for specific findings and recommendations.
02
Develop a plan of correction addressing each deficiency identified.
03
Implement the plan of correction within the specified timeframe.
04
Provide documentation of the actions taken to address the deficiencies.
05
Submit the completed plan of correction and supporting documentation to the state agency for review.

Who needs substantiated state deficiencies relat?

01
Healthcare facilities, such as nursing homes or hospitals, that have received substantiated state deficiencies related to patient care or safety.
02
Government agencies responsible for regulating healthcare facilities and ensuring compliance with state regulations.
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Substantiated state deficiencies relat refer to deficiencies in compliance with state regulations that have been confirmed through evidence.
Healthcare facilities and providers are required to file substantiated state deficiencies relat.
Substantiated state deficiencies relat can be filled out by providing detailed information about the deficiency, evidence that supports the deficiency, and any corrective actions taken.
The purpose of substantiated state deficiencies relat is to ensure compliance with state regulations and to improve the quality of healthcare services.
Information such as the nature of the deficiency, evidence supporting the deficiency, corrective actions taken, and any follow-up measures must be reported on substantiated state deficiencies relat.
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