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PRINTED: 04/03/2020
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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Read the instructions carefully before starting the survey.
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Who needs preparedness survey conducted on?
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Individuals or organizations interested in assessing their level of preparedness for emergencies or disasters.
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What is preparedness survey conducted on?
The preparedness survey is conducted on emergency readiness and response procedures.
Who is required to file preparedness survey conducted on?
All organizations and businesses are required to file the preparedness survey.
How to fill out preparedness survey conducted on?
The preparedness survey can be filled out online through a designated portal provided by the relevant authorities.
What is the purpose of preparedness survey conducted on?
The purpose of the preparedness survey is to assess the level of emergency preparedness and response capabilities of organizations.
What information must be reported on preparedness survey conducted on?
Information such as emergency response plans, communication protocols, evacuation procedures, and training programs must be reported on the preparedness survey.
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