Get the free This visit was for the Investigation of Complaint IN00159632 ... - 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: 155167
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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 responsible person in charge of the facility is required to file this visit.
How to fill out this visit was for?
The visit report must be filled out accurately and completely, detailing any findings or observations.
What is the purpose of this visit was for?
The purpose of this visit was to ensure compliance with regulations and standards.
What information must be reported on this visit was for?
All observations, findings, and any corrective actions taken must be reported on this visit.
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