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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15000908/22/2016FORM
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What is this visit was for?
This visit is for a routine inspection.
Who is required to file this visit was for?
The person in charge of the facility being inspected is required to file this visit.
How to fill out this visit was for?
The visit should be filled out accurately and completely, including any observations made during the inspection.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with safety regulations and standards.
What information must be reported on this visit was for?
The report must include details of the inspection, any violations found, and any corrective actions taken.
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