
Get the free This visit was for the Investigation of Complaint IN00174641 ... - IN.gov
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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: 155233
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What is this visit was for?
This visit was for a routine inspection.
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 report must be completed with all relevant details and findings.
What is the purpose of this visit was for?
The purpose of this visit was to ensure compliance with safety regulations.
What information must be reported on this visit was for?
All observations, recommendations, and corrective actions must be reported.
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