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Get the free www.idph.state.il.us ltc docsPRINTED: 02/04/2020 DEPARTMENT OF HEALTH AND HUMAN SERV...

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PRINTED: 02/04/2020 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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Healthcare facilities, caregivers, and individuals involved in long-term care services in Illinois
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wwwidphstateilus ltc docsprinted 0204 refers to a specific document used for reporting in the long-term care sector in Illinois.
Long-term care facilities and providers operating in Illinois are required to file this document.
To fill out the document, providers must provide accurate information as instructed on the form, ensuring that all required fields are completed.
The purpose of the document is to collect data on services, staffing, and other operational metrics from long-term care facilities.
The document requires reporting specific data on resident care, staffing levels, and compliance with state regulations.
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