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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:15G71509/24/2014FORM
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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?
All employees in the department are required to file this visit.
How to fill out this visit was for?
To fill out this visit, employees must document any relevant findings and observations.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations and identify any areas for improvement.
What information must be reported on this visit was for?
Information such as date of visit, location, findings, and any corrective actions taken must be reported.
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