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PRINTED: 09/28/2011 FORM APPROVED DEPARTMENT 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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2010 2011 disclosable LEXINGTON OMB LSC X6 X2 41D211 X1 X4 ARO CMS-2567 X3 KY00014883 CLIA X5 denotes referenced DEFICIENCIES REGULATORY unsubstantiated abbreviated requisite PREFIX safeguards asterisk continuation CORRECTIVE allegation PRECEDED KY

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