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06/07/2023PRINTED: 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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The visit included form investigation is a document that outlines details of a specific visit conducted for investigative purposes.
Investigators or individuals conducting visits for investigative purposes are required to file the visit included form.
The visit included form investigation should be filled out with accurate details of the visit, including date, time, location, purpose, individuals present, and findings.
The purpose of the visit included form investigation is to document and report the details of visits conducted for investigative purposes.
Information such as date, time, location, purpose of visit, individuals present, and any findings or observations must be reported on the visit included form investigation.
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