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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:15K10002/25/2015FORM
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What is this visit was for?
This visit was for a routine inspection of the premises.
Who is required to file this visit was for?
The owner of the property or their authorized representative is required to file this visit.
How to fill out this visit was for?
The visit should be filled out electronically on the official website of the regulatory agency.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with health and safety regulations.
What information must be reported on this visit was for?
Information such as date of inspection, findings, corrective actions taken, and any violations found must be reported.
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