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PRINTED: 11/25/2024 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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How to fill out an on-site revisit was

01

Review the initial report or findings that prompted the need for an on-site revisit.

02

Schedule a date and time for the revisit, ensuring all necessary stakeholders are available.

03

Prepare a checklist of the specific areas to assess during the revisit.

04

Gather any required documentation or previous reports related to the site.

05

Conduct the on-site visit, following the checklist to ensure all points are addressed.

06

Document any new findings or changes observed during the revisit.

07

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08

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Who needs an on-site revisit was?

01

Organizations looking to ensure compliance with safety or regulatory standards.

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What is an on-site revisit?

An on-site revisit is a follow-up inspection conducted at a specific location to assess compliance with previously established standards or to evaluate progress on corrective actions.

Who is required to file an on-site revisit?

Organizations or entities that have previously undergone an inspection and need to report on their compliance status are required to file an on-site revisit.

How to fill out an on-site revisit?

To fill out an on-site revisit, gather relevant documentation, complete the required forms with accurate information regarding compliance status, corrective actions taken, and submit the forms to the appropriate authority.

What is the purpose of an on-site revisit?

The purpose of an on-site revisit is to verify that an organization has addressed any identified issues, to ensure ongoing compliance, and to assess any changes since the last inspection.

What information must be reported on an on-site revisit?

The report must include details on compliance issues, actions taken to resolve those issues, any changes to operations, and results from follow-up assessments.

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