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PRINTED: 06/04/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out group home 1
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What is group home 1?
Group home 1 is a form that must be filled out by group homes to report specific information to the authorities.
Who is required to file group home 1?
Group homes are required to file group home 1.
How to fill out group home 1?
Group home 1 can be filled out by providing all the required information in the specified fields on the form.
What is the purpose of group home 1?
The purpose of group home 1 is to provide authorities with important information about the operations and residents of group homes.
What information must be reported on group home 1?
Information such as number of residents, staff members, services provided, and any incidents must be reported on group home 1.
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