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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:15541711/24/2020FORM

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Start by gathering all the necessary information about the visit such as date, time, location, and purpose.

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What is this visit was for?

This visit was for conducting a routine inspection.

Who is required to file this visit was for?

All employees and visitors are required to file this visit.

How to fill out this visit was for?

The visit can be filled out by providing accurate information about the purpose and duration of the visit.

What is the purpose of this visit was for?

The purpose of this visit is to ensure compliance with safety regulations and company policies.

What information must be reported on this visit was for?

Information such as date, time, purpose, and duration of the visit must be reported.

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