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PRINTED: 07/17/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Form facility is in is a document used to report information about the facilities and their features.
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The purpose of form facility is in is to ensure that regulatory agencies have up-to-date information about facilities, their features, and any potential hazards.
Information such as the facility's name, location, features, and any potential hazards must be reported on form facility is in.
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