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Ao.^?•. VERMONT AGENCY OF HUMAN SERVICES DEPARTMENT OF DISABILITIES, AGING AND INDEPENDENT LIVING Division of Licensing and Protection 103 South Main Street, Ladd Hall
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City

Facility / Versions OLISOIOte iiHsni / HOME DERBY / Farulity / DERBY / Ladd Hall Waterbury / BUILDING DERBY / /

Company

X5 / Nursing Services / /

Currency

pence / /

Event

FDA Phase / Product Issues / /

Facility

The facility / A-• Facility / X21 MULlIPLE CONSTRUCTION A BUILDING / Facility ID / Hall Waterbury / /

/

IndustryTerm

state law / /

MedicalCondition

X TAG tx5 COMPLETION DATE DEFICIENCY / CROSS REFERENCED TO THE APPROPRIATE DEFICIENCY / hurt / Parkinson's disease / Alzheimer's dementia / ID PREFIX TAG PROVIDERS PLAN OF CORRECTION EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY / TO THE APPROPRIATE DEFICIENCY / depressive disorder / Any deficiency / EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY / osteoarthritis / adjustment disorder / chronic medical conditions / depression / /

MedicalTreatment

surgical treatment / /

Organization

QA committee / Division of Licensing and Protection / DEPARTMENT OF HEALTH AND HUMAN SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION / MEDICARE / AGING AND INDEPENDENT LIVING Division of Licensing and Protection / DAIL / DEPARTMENT OF HEALTH AND HUMAN SERVICES / VERMONT AGENCY OF HUMAN SERVICES DEPARTMENT OF DISABILITIES / /

Person

Derby Green / Resident / Lisa Bohlman / Derby Green Nursing / Pamela M. Cota / /

/

Position

subpart rt / RN Licensing Chief / physician / nursing assistant / housekeeper / nursing supervisor / F155 The administrator / Administrator / nurse / This writer / F280 The administrator / representative / Director of Nursing Services / attending physician / a registered nurse / legal representative / Corporal / /

Product

Aripiprazole 5 mg / TAO / Abilify / Ritalin / ZSO4B / Vocational Rehabilitation FEB / /

ProgrammingLanguage

ML / /

ProvinceOrState

Vermont / /

Technology

DNS / /

URL

http /

SocialTag