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Printed: 03/18/2021 Form Approved OMB No. 09380391Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA

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Lincolnshire Health and Rehabilitation is a healthcare facility that provides medical services and rehabilitation programs for patients.

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To fill out Lincolnshire Health and Rehabilitation forms, you will need to provide accurate information about the facility's operations and services.

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Information such as patient demographics, medical treatments provided, and facility operations must be reported on Lincolnshire Health and Rehabilitation forms.

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