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PRINTED: 08/28/2014 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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What is this visit was for?
This visit was for a routine inspection.
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The purpose of this visit is to ensure compliance with regulations and standards.
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Information such as date and time of visit, location visited, observations, findings, and any corrective actions taken must be reported.
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