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PRINTED: 09/23/2015 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 facility number 000854?
Facility number 000854 is a unique identifier assigned to a specific facility.
Who is required to file facility number 000854?
The owner or operator of the facility is required to file facility number 000854.
How to fill out facility number 000854?
Facility number 000854 should be filled out by providing all the required information accurately.
What is the purpose of facility number 000854?
The purpose of facility number 000854 is to track and monitor activities at the specified facility.
What information must be reported on facility number 000854?
Information such as facility location, type of activities, and any potential hazards must be reported on facility number 000854.
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