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PRINTED: 05/30/2014 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Gardenview Manor - IDPH is a form required by the Illinois Department of Public Health for reporting information about nursing homes or long-term care facilities.
Administrators or designated staff of nursing homes or long-term care facilities are required to file the Gardenview Manor - IDPH form.
The Gardenview Manor - IDPH form can be filled out electronically or manually by providing required information about the facility and residents.
The purpose of Gardenview Manor - IDPH is to ensure that nursing homes and long-term care facilities comply with reporting requirements and provide data for public health analysis.
Information such as facility details, resident demographics, health conditions, and incidents must be reported on the Gardenview Manor - IDPH form.
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