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PRINTED: 05/01/2018 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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Crest Road Group Home is a residential facility providing care and support for individuals with disabilities or special needs.
The owner or operator of Crest Road Group Home is required to file the necessary documentation.
To fill out Crest Road Group Home forms, one must provide accurate information regarding the individuals residing at the facility and the services provided.
The purpose of Crest Road Group Home is to provide a safe and supportive environment for individuals with disabilities to live and thrive.
Information such as the number of residents, staff, services provided, and any incidents or changes must be reported on Crest Road Group Home forms.
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