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1. 08/23/2012 12 00 00A B. On August 2 2012 at 4 05 PM employee C presented an occupational therapy assessment dated 7/30/12 completed by a contracted therapist. PRINTED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES STATEMENT OF DEFICIENCIES X1 PROVIDER/SUPPLIER/CLIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER 157596 09/06/2012 FORM APPROVED OMB NO. 0938-0391 X2 MULTIPLE CONSTRUCTION A. BUILDING X3 DATE SURVEY COMPLETED 08/02/2012 B. WING STREET ADDRESS CITY...

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