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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:15568007/31/2017FORM
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02
Make sure to have any required documents, such as identification or appointment confirmation, ready for the visit.
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Arrive at the location of the visit on time, allowing for any necessary travel or parking.
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Follow any instructions or guidelines provided for the visit, such as checking in at a reception desk or waiting area.
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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 report should be filled out with details of the inspection findings.
What is the purpose of this visit was for?
The purpose of this visit was to ensure compliance with safety regulations.
What information must be reported on this visit was for?
Information such as date of inspection, areas inspected, findings, corrective actions taken, and signatures must be reported.
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