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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:15522612/10/2013FORM
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What is this visit was for?
This visit is for a routine inspection.
Who is required to file this visit was for?
The supervisor of the department is required to file this visit.
How to fill out this visit was for?
To fill out this visit, the supervisor needs to document any findings during the inspection.
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 information that must be reported includes any safety hazards found, corrective actions taken, and suggestions for improvement.
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