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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:15C000120007/22/2019FORM
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This visit was for conducting a routine inspection of the premises.
The property owner or business manager is required to file this visit.
The visit report should be filled out with details of the inspection findings and any necessary actions taken.
The purpose of this visit was to ensure compliance with safety regulations and standards.
The report must include details of any violations found, corrective actions taken, and recommendations for improvement.
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