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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: 155671
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What is this visit was for?
The visit was for conducting a compliance check.
Who is required to file this visit was for?
The department manager is required to file this visit.
How to fill out this visit was for?
The visit must be filled out using the online reporting system.
What is the purpose of this visit was for?
The purpose of this visit was to ensure compliance with regulations.
What information must be reported on this visit was for?
The information that must be reported includes date, time, location, and findings.
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