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PRINTED: 11/08/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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01
Review the previous onsite visit report to understand any deficiencies or follow-up actions required.
02
Schedule an appointment with the site to conduct the revisit.
03
Bring necessary tools and equipment for testing and inspection.
04
Meet with onsite personnel to discuss any updates or changes since the last visit.
05
Conduct a thorough inspection of the site, checking for compliance with regulations and standards.
06
Document any findings or observations during the revisit.
07
Discuss any corrective actions or recommendations with onsite personnel before leaving.

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Companies or organizations that are required to ensure compliance with regulations or standards at their onsite locations.
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Inspectors or auditors conducting follow-up visits to verify compliance or address previous issues.
03
Project managers overseeing construction or maintenance projects that require onsite inspections.
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An onsite revisit is a follow-up visit conducted to assess the ongoing compliance or changes made since the previous evaluation.
Entities that have undergone a previous evaluation and were found non-compliant, or those required by regulation to demonstrate compliance must file an onsite revisit.
To fill out an onsite revisit, complete the designated form by providing detailed information on current compliance status, any changes made, and evidence supporting the compliance claims.
The purpose of an onsite revisit is to verify compliance with regulations, evaluate improvements made, and ensure that any previous deficiencies have been addressed.
The report must include details on compliance status, corrective actions taken, documentation of improvements, and any ongoing issues.
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