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Protecting,Maintainingand Improvingthe Healthof All MinnesotansElectronicallydelivered July25, 2024 Administrator St FrancisHome 2400St FrancisDrive Breckenridge,MN 56520 RE:CCN:245265 CycleStart
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The form for skilled nursing facilities and/or nursing facilities is a regulatory document that reflects compliance with federal and state requirements for facilities providing skilled nursing care.
All skilled nursing facilities and nursing facilities that receive Medicare or Medicaid funding are required to file this form.
To fill out the form, facilities must provide accurate data regarding their services, staffing, financial information, and adherence to regulatory standards, typically following a specified format provided by the governing agency.
The purpose of the form is to ensure that facilities meet required health and safety standards to receive federal and state funding and to monitor their compliance with regulations.
Required information typically includes facility identification details, ownership information, staffing levels, patient care metrics, and compliance history.
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