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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:15G61706/07/2017FORM
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What is this visit was for?
The visit was for a routine inspection.
Who is required to file this visit was for?
The administrator of the facility is required to file this visit.
How to fill out this visit was for?
The visit can be filled out using an online form provided by the regulatory agency.
What is the purpose of this visit was for?
The purpose of the visit is to ensure compliance with regulations and standards.
What information must be reported on this visit was for?
Information such as facility conditions, employee training records, and safety protocols must be reported.
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