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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTION06/10/2011FORM APPROVEDIDENTIFICATION
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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 department manager is required to file this visit.
How to fill out this visit was for?
The visit should be filled out using the online form provided by the company.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with safety regulations.
What information must be reported on this visit was for?
The information that must be reported includes any hazards identified, corrective actions taken, and any recommendations for improvement.
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