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PRINTED: 04/04/2023 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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Preparedness survey is conducted on assessing the readiness and resilience of individuals, organizations, or communities in response to potential emergencies or disasters.

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Government agencies, non-profit organizations, businesses, and individuals may be required to file preparedness survey based on specific regulations or guidelines.

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Information reported on preparedness survey may include emergency contact information, evacuation plans, supply inventory, and training records.

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