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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: 150018
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What is this visit was for?
This visit is for a routine inspection.
Who is required to file this visit was for?
The owner of the property is required to file this visit.
How to fill out this visit was for?
The visit must be documented and logged in the online portal.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with safety regulations.
What information must be reported on this visit was for?
Any issues found during the inspection must be reported.
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