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08/01/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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What is this visit was for?
This visit was for conducting a routine inspection.
Who is required to file this visit was for?
The authorized representative of the organization must file this visit.
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The visit must be filled out with accurate and complete information.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations and standards.
What information must be reported on this visit was for?
The information to be reported includes date of visit, findings, corrective actions taken.
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