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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:15544412/03/2013FORM
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This visit was for the purpose of conducting a routine inspection.
The department head or designated representative is required to file this visit.
The visit should be filled out by providing accurate and detailed information about the inspection.
The purpose of this visit is to ensure compliance with regulations and standards.
The visit report must include observations, findings, recommendations, and any corrective actions taken.
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