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PRINTED: 03/16/2016 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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Review the specific requirements and guidelines for the area being inspected.

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What is no deficiencies were cited?

No deficiencies were cited means that there were no issues or shortcomings found during a review or inspection.

Who is required to file no deficiencies were cited?

Any organization or individual who undergoes a review or inspection and has no deficiencies found is required to file a report stating so.

How to fill out no deficiencies were cited?

The report should be completed accurately and truthfully, detailing the findings of the review or inspection.

What is the purpose of no deficiencies were cited?

The purpose is to inform stakeholders that the organization or individual has met the required standards and no issues were found.

What information must be reported on no deficiencies were cited?

The report should include the date of the review or inspection, the name of the organization or individual, and a statement confirming no deficiencies were found.

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