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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:15G51510/31/2017FORM
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What is this visit was for?
This visit was for a routine inspection.
Who is required to file this visit was for?
The responsible person in charge of the facility is required to file this visit.
How to fill out this visit was for?
The visit should be documented in a provided template and all necessary information should be accurately filled out.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations and standards.
What information must be reported on this visit was for?
The information that must be reported includes date of visit, findings, corrective actions taken, and any recommendations for improvement.
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