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PRINTED: 11/01/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:OLD GREENE GROUP HOME (X4) ID PREFIX TAG.

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Old Greenlee Group Home is a residential facility for individuals with disabilities that was established several years ago.

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The management of the old Greenlee Group Home is required to file the necessary paperwork.

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To fill out the old Greenlee Group Home paperwork, you need to provide information about the residents, staff, finances, and any incidents that have occurred.

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The purpose of the old Greenlee Group Home is to provide a safe and supportive living environment for individuals with disabilities.

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Information such as resident demographics, staff qualifications, financial records, and incident reports must be reported on the old Greenlee Group Home.

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