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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: 150002
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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 owner of the property 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 was to ensure compliance with regulations.
What information must be reported on this visit was for?
The information that must be reported includes maintenance records and inspection results.
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