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PRINTED: 06/20/2018 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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Laurelwood group home is a residential facility for individuals who require assistance with daily living activities.
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The owner or operator of the laurelwood group home is required to file.
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To fill out laurelwood group home, the owner or operator must provide information about the residents, staff, services provided, and any incidents that occurred.
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Information that must be reported on laurelwood group home includes resident demographics, services provided, incidents, staff qualifications, and facility maintenance records.
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