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PRINTED: 06/23/2014 FORM APPROVED Division of Health Care Facilities STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: CHRISTIAN CARE CENTER OF CHEATHAM
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2014 licensure TN1101 X3 X2 ASHLAND T1R921 X6 X4 X1 X5 CLIA CHEATHAM LSC TN referenced DEFICIENCIES evidenced REGULATORY PREFIX continuation CORRECTIVE PRECEDED compliance DEFICIENCY PROVIDER SUMMARY IDENTIFYING SUPPLIER

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