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0938-0391 X2 MULTIPLE CONSTRUCTION B. WING NAME OF PROVIDER OR SUPPLIER 10/09/2014 STREET ADDRESS CITY STATE ZIP CODE 643 W UTICA ST MAPLE MANOR CHRISTIAN HOME INC X4 ID PREFIX TAG X3 DATE SURVEY COMPLETED A. PRINTED 10/14/2014 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER 155766 OMB NO. 70 a Life Safety from Fire and the 2000 edition of the National...
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Maple Manor Christian Home is a non-profit senior living facility providing care and services to elderly residents.
The management or authorized representative of Maple Manor Christian Home is required to file the necessary documents.
To fill out maple manor christian home, the management or authorized representative needs to provide detailed information about the facility, its residents, and the services provided.
The purpose of Maple Manor Christian Home is to provide a safe and caring environment for elderly residents who require assistance with daily living activities.
Information such as the number of residents, types of services offered, facilities available, and any incidents or complaints must be reported on maple manor christian home.
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