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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:15G54507/27/2017FORM
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This visit was for a routine inspection.
The visit was required to be filed by the department supervisor.
The visit can be filled out by providing details of the inspection findings and recommendations.
The purpose of this visit was to ensure compliance with safety regulations.
The report must include details of any safety violations found during the inspection.
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