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PRINTED: 06/08/2023 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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Check the details of the previous onsite visit report to understand the issues that were identified

02

Schedule a date and time for the revisit with the necessary team members

03

Review any updates or changes that have been made since the last visit

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Prepare any additional documentation or evidence to support the revisit

05

During the revisit, conduct a thorough inspection of the site and address any outstanding issues

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What is an onsite revisit was?

An onsite revisit was is a follow-up visit to a location or site to assess any changes or updates.

Who is required to file an onsite revisit was?

The person or entity responsible for the location or site is required to file an onsite revisit was.

How to fill out an onsite revisit was?

To fill out an onsite revisit was, one must provide all relevant updated information and details about the location or site.

What is the purpose of an onsite revisit was?

The purpose of an onsite revisit was is to ensure accurate and up-to-date information about a specific location or site.

What information must be reported on an onsite revisit was?

All changes, updates, and any new developments related to the location or site must be reported on an onsite revisit was.

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