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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:155064(X2)
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What is this visit was for?
This visit is for a routine inspection by government authorities.
Who is required to file this visit was for?
The visit report must be filed by the supervisor or manager in charge of the premises being inspected.
How to fill out this visit was for?
The visit report should be completed by documenting observations, findings, and any corrective actions taken.
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 report must include details of the inspection, any violations found, and actions taken to address them.
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