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PRINTED: 04/25/2018
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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What is form convalescent center at?
Form convalescent center is a document used to report information about patients at a convalescent center.
Who is required to file form convalescent center at?
The staff or administration of a convalescent center is required to file form convalescent center.
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Form convalescent center is typically filled out by providing demographic information about the patients, their medical conditions, and any treatments or therapies they are receiving.
What is the purpose of form convalescent center at?
The purpose of form convalescent center is to track and monitor the health and treatment of patients at the convalescent center.
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Information such as patient names, medical conditions, medications, treatments, and progress reports must be reported on form convalescent center.
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