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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:15G49403/20/2017FORM
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Start by providing the date and time of the visit.
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What is this visit was for?
This visit was for a routine inspection.
Who is required to file this visit was for?
All employees are required to file this visit.
How to fill out this visit was for?
This visit can be filled out online on the official website.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations.
What information must be reported on this visit was for?
Information such as date of visit, findings, and corrective actions must be reported.
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