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08/29/2022PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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This visit included form is a document that includes detailed information about a specific visit.
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Anyone who has visited a specific location and needs to report it.
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The purpose is to keep track of all visits to a specific location for record-keeping and analysis purposes.
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Information such as date of visit, purpose of visit, location visited, and any relevant details.
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