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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:15016210/19/2017FORM

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What is this visit was for?

This visit was for a routine inspection by the regulatory agency.

Who is required to file this visit was for?

The designated representative from the company is required to file this visit report.

How to fill out this visit was for?

The visit report should be filled out online through the regulatory agency's portal.

What is the purpose of this visit was for?

The purpose of this visit was to ensure compliance with regulations and standards.

What information must be reported on this visit was for?

The information that must be reported includes date of visit, findings, corrective actions taken, and any follow-up needed.

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