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PRINTED: 11/29/2016 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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What is this visit was done?

This visit was conducted to assess the progress and status of the project.

Who is required to file this visit was done?

The project manager or designated team member is required to file this visit report.

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The purpose of this visit was to ensure project goals are being met and address any issues or concerns.

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