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PRINTED: 11/20/2018 FORM APPROVEDHawaii Dept. of Health, Office of Health Care Assurance STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:(X3) DATE.

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How to fill out the 15 CRAIGSIDE PLACE online

Filling out the 15 CRAIGSIDE PLACE form online is a straightforward process. This guide will walk you through each section and field of the form, ensuring you provide the necessary information accurately and efficiently.

Follow the steps to complete the form with confidence.

  1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. In the first section, enter the provider/supplier identification number as indicated in the document.
  3. For the survey completion date, input the date as noted, which is 10/26/2018.
  4. Fill in the street address, city, state, and ZIP code, entering '15 CRAIGSIDE PLACE, HONOLULU, HI 96817'.
  5. Complete the building and wing information sections; if not applicable, leave them blank.
  6. In the summary statement of deficiencies, provide a detailed account of each deficiency alongside any required regulatory information.
  7. For the provider's plan of correction, outline the corrective actions related to each deficiency.
  8. Make sure to complete the date field related to the plan of correction as required.
  9. After filling out all sections, review your entries for accuracy.
  10. Finally, save your changes, download, print, or share the form as needed.

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Welcome to 15 Craigside, a nursing home community located in Honolulu, Hawaii. The cost of the nursing home community at 15 Craigside starts at a monthly rate of $3,719 to $10,038. There may be some additional services that could increase the cost of care, depending on the services that you may need.

Welcome to 15 Craigside, a nursing home community located in Honolulu, Hawaii. The cost of the nursing home community at 15 Craigside starts at a monthly rate of $3,719 to $10,038. There may be some additional services that could increase the cost of care, depending on the services that you may need.

15 Craigside opens in March 2011 as a “moderate income” LPC. Plans for the community began in 2006 on the site previously owned by the Hawaii Conference of the United Church of Christ. 15C offers independent living and assisted living in 170 apartments and a 41-bed licensed nursing facility.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232