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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: 151544
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In the case of medical visits, indicate the name of the doctor or healthcare professional you are visiting and provide a brief description of the reason for the visit. It can be helpful to mention any symptoms or concerns you may have.
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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 property owner or manager is required to file this visit.
How to fill out this visit was for?
The visit can be filled out online through the designated portal.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations.
What information must be reported on this visit was for?
The information reported should include the condition of the property and any maintenance issues.
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