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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:15550505/05/2016FORM
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This visit was for a routine inspection.
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The designated facility manager is required to file this visit.
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The visit should be filled out electronically using the designated online portal.
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The purpose of this visit is to ensure compliance with safety regulations and guidelines.
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The information that must be reported includes any safety hazards identified, corrective actions taken, and overall compliance status.
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