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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:15537810/29/2014FORM
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What is this visit was for?
This visit was for a site inspection.
Who is required to file this visit was for?
The site manager is required to file this visit.
How to fill out this visit was for?
Fill out the visit report form with details of the inspection.
What is the purpose of this visit was for?
The purpose of this visit was to ensure compliance with safety regulations.
What information must be reported on this visit was for?
The information reported must include findings, recommendations, and corrective actions.
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