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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:15579003/12/2014FORM
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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 business owner or manager is required to file this visit.
How to fill out this visit was for?
The visit can be filled out online or in person with the assigned inspector.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations and standards.
What information must be reported on this visit was for?
The information that must be reported includes maintenance logs, inventory records, and sanitation practices.
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