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PRINTED: 07/18/2024 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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Gather all necessary documentation from the initial visit

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What is an onsite revisit was?

An onsite revisit was is a follow-up inspection or visit conducted at the location of a previous inspection.

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The entity or individual responsible for the previous inspection is required to file an onsite revisit was.

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To fill out an onsite revisit was, one must provide information on the findings of the previous inspection and any corrective actions taken.

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Information on the findings of the previous inspection, any corrective actions taken, and the current status of compliance must be reported on an onsite revisit was.

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