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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTION08/16/2011FORM APPROVEDIDENTIFICATION
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What is r0000 this visit was?
r0000 stands for a unique identifier for this specific visit.
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Anyone who conducted the visit or is responsible for documenting the visit details.
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Fill out r0000 by providing accurate information about the visit such as date, time, purpose, and any observations.
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Information such as date, time, location, purpose, and any relevant observations or findings.
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