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PRINTED: 03/24/2022 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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How to fill out an unannounced recertification survey

01

Be prepared to provide all necessary documentation and information requested in the survey.

02

Review any previous survey results and make improvements where needed to ensure compliance.

03

Be honest and transparent in your responses to the survey questions.

04

Make sure all staff members are trained and knowledgeable about the survey process.

05

Keep track of any follow-up actions that may be required after the survey is completed.

Who needs an unannounced recertification survey?

01

Healthcare facilities, including hospitals, nursing homes, and medical clinics, may need to undergo unannounced recertification surveys to ensure they are meeting quality and safety standards.

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What is an unannounced recertification survey?

An unannounced recertification survey is a survey conducted by a regulatory body without prior notice to assess the compliance of a facility with regulations or standards.

Who is required to file an unannounced recertification survey?

Facilities that are regulated and monitored by a regulatory body are required to file an unannounced recertification survey.

How to fill out an unannounced recertification survey?

An unannounced recertification survey is typically filled out by designated personnel within the facility being surveyed, following the instructions provided by the regulatory body.

What is the purpose of an unannounced recertification survey?

The purpose of an unannounced recertification survey is to ensure ongoing compliance with regulations or standards and to identify any areas of non-compliance that need to be addressed.

What information must be reported on an unannounced recertification survey?

An unannounced recertification survey typically requires the reporting of information related to facility operations, staff qualifications, patient care, and other pertinent data.

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