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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:15568702/19/2014FORM
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This visit was for an official inspection of the facility.
The designated manager or supervisor is required to file this visit.
The visit should be documented in detail including date, time, purpose, and findings.
The purpose of this visit was to ensure compliance with regulations and standards.
Information such as observations, recommendations, and corrective actions must be reported.
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