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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:15008207/13/2018FORM

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What is this visit was for?

This visit was for a routine inspection.

Who is required to file this visit was for?

The owner of the property is required to file this visit.

How to fill out this visit was for?

The visit can be filled out online through the designated portal.

What is the purpose of this visit was for?

The purpose of this visit is to ensure compliance with regulations.

What information must be reported on this visit was for?

The visit must report any maintenance issues or violations.

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