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11/12/2021PRINTED:
DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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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?
The department manager is required to file this visit.
How to fill out this visit was for?
To fill out this visit, the department manager must provide detailed information about the inspection findings.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with safety regulations.
What information must be reported on this visit was for?
The department manager must report any violations found during the inspection.
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