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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:15005108/21/2018FORM
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This visit was for a routine inspection of the facility.
The facility manager or owner is required to file this visit.
The visit should be documented in the inspection report form provided by the regulatory agency.
The purpose of this visit is to ensure compliance with safety regulations and standards.
The information reported should include date of visit, areas inspected, findings, and any corrective actions taken.
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