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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: 155100
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This visit is for conducting a routine inspection of the facility.
Who is required to file this visit was for?
The facility manager or designated representative is required to file this visit.
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The visit report must be filled out accurately and completely with all relevant information.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations and safety standards.
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All findings, observations, and corrective actions must be reported on this visit.
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