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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:15G39410/21/2015FORM
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What is this visit was for?
This visit is for a routine inspection by a regulatory agency.
Who is required to file this visit was for?
The visit report must be filed by the designated representative of the organization being inspected.
How to fill out this visit was for?
The visit report should be filled out by providing detailed information about the inspection findings and any corrective actions taken.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulatory standards and identify any areas for improvement.
What information must be reported on this visit was for?
The report must include details of the inspection process, findings, corrective actions taken, and any recommendations for improvement.
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