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PRINTED: 02/28/2017 FORM APPROVED Wisconsin Department of Health Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:PRAIRIE RIDGE ASSISTED LIVING
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The owner or operator of the Prairie Ridge Assisted Living facility is required to file the necessary paperwork.
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To fill out Prairie Ridge Assisted Living paperwork, you must provide detailed information about the facility, services offered, staff qualifications, and resident demographics.
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