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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:15G30505/10/2016FORM

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What is this visit was for?

This visit is for conducting a routine inspection.

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The owner or manager of the establishment is required to file this visit.

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

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All inspection findings, violations, and corrective actions taken must be reported.

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