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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: 10/18/2013
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This visit was for a routine inspection.
All employees in the department are required to file this visit.
The visit report form must be completed with all relevant information.
The purpose of this visit was to ensure compliance with safety regulations.
The information required to be reported includes date of visit, findings, and corrective actions.
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