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PRINTED: 01/04/2022
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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What is life care center of?
The Life Care Center is a skilled nursing facility.
Who is required to file life care center of?
The facility administrator or designated staff member is required to file the Life Care Center of form.
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The Life Care Center of form can be filled out online or submitted via mail with all required information.
What is the purpose of life care center of?
The purpose of the Life Care Center of form is to provide important statistics and information about the facility's residents and services.
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The Life Care Center of form must include information on the number of residents, services offered, and any incidents that occurred within the facility.
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