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PRINTED: 08/15/2019 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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Ellendale Group Home is a residential living facility for individuals with disabilities.
The management or administration of the Ellendale Group Home is required to file.
The Ellendale Group Home report can be filled out online or in paper form and must include details about the residents, staff, and services provided.
The purpose of Ellendale Group Home is to provide a safe and supportive living environment for individuals with disabilities.
Information such as the number of residents, staff qualifications, services provided, and any incidents or accidents must be reported.
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