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01/04/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION

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What is this visit was for?

This visit was for a routine inspection of the facility.

Who is required to file this visit was for?

The facility manager is required to file this visit.

How to fill out this visit was for?

The visit can be filled out by documenting the findings and submitting the report to the relevant authorities.

What is the purpose of this visit was for?

The purpose of this visit was to ensure compliance with safety regulations and standards.

What information must be reported on this visit was for?

The report must include details of any violations found during the inspection, as well as any corrective actions taken.

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