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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:15518702/29/2016FORM

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What is this visit was for?

This visit was for a routine inspection of the property.

Who is required to file this visit was for?

The property owner or manager is required to file this visit.

How to fill out this visit was for?

The visit report must be completed and submitted through the online portal.

What is the purpose of this visit was for?

The purpose of this visit is to ensure compliance with local regulations and safety standards.

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The report must include details of any violations, maintenance issues, or safety hazards observed during the visit.

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