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PRINTED: 05/22/2017 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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No deficiencies cited as means that there were no areas of concern or issues identified during an inspection or audit.
The organization or entity that underwent the inspection or audit is required to file a no deficiencies cited report.
To fill out a no deficiencies cited report, simply indicate that no deficiencies were found during the inspection or audit.
The purpose of a no deficiencies cited report is to document that no major issues or areas of concern were identified during an inspection or audit.
The report should include details of the inspection or audit, the date it took place, the areas examined, and a statement confirming no deficiencies were found.
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