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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:15570510/07/2014FORM
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This visit was for a routine inspection of the facility.
The facility manager is required to file this visit.
The visit should be filled out with details of the inspection findings and any actions taken.
The purpose of this visit was to ensure compliance with regulations and standards.
The report must include details of the inspection, corrective actions taken, and future recommendations.
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