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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:15758103/17/2015FORM

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What is this visit was for?

This visit was for a routine compliance check.

Who is required to file this visit was for?

All the employees are required to file this visit.

How to fill out this visit was for?

You can fill out this visit by providing detailed information about the compliance check.

What is the purpose of this visit was for?

The purpose of this visit was to ensure that all regulations are being followed.

What information must be reported on this visit was for?

You must report any findings or discrepancies during the compliance check.

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