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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15563501/04/2021FORM

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How to fill out substantiated deficiencies related to

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Identify the specific deficiencies that need to be addressed.

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Provide detailed documentation or evidence to support each deficiency.

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What is substantiated deficiencies related to?

Substantiated deficiencies are related to deficiencies that have been confirmed or proven to be true.

Who is required to file substantiated deficiencies related to?

The parties responsible for the deficiencies are required to file substantiated deficiencies.

How to fill out substantiated deficiencies related to?

Substantiated deficiencies can be filled out by providing detailed information and evidence supporting the deficiencies.

What is the purpose of substantiated deficiencies related to?

The purpose of substantiated deficiencies is to address and rectify any confirmed shortcomings or issues.

What information must be reported on substantiated deficiencies related to?

The report on substantiated deficiencies must include details of the deficiencies, supporting evidence, and plans for rectification.

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