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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: 154035
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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 compliance officer is required to file this visit.
How to fill out this visit was for?
The visit should be filled out by documenting all findings and observations.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations and standards.
What information must be reported on this visit was for?
All observations, findings, and recommendations must be reported.
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