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PRINTED: 07/17/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Jefferson Family Care Home is a residential facility that provides care and support for individuals who are unable to live independently.
Owners or operators of Jefferson Family Care Homes are required to file.
Jefferson Family Care Homes can be filled out online or through paper forms provided by the regulatory agency.
The purpose of Jefferson Family Care Homes is to provide a safe and supportive living environment for individuals in need of assistance.
Information such as resident demographics, care plans, medication administration records, and incident reports must be reported on Jefferson Family Care Homes.
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