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04/06/2020- OTHER HEALTH- GLEN AT LAKE OCONEE VILLAGE, THEPRINTED: 4/8/2020 FORM APPROVED State of GA, Healthcare Facility Regulation Division State of GA Inspection Report STATE FORM 6899 XKAA11 If continuation sheet Page 1 of 1 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: ALC000233 (X2) MULTIPLE CONSTRUCTION A.BUILDING B.WING (X3) DATE SURVEY COMPLETED 04/06/2020 NAME OF PROVIDER OR SUPPLIER GLEN AT LAKE OCONEE VILLAGE, THE STREET ADDRESS, CITY, STATE, ZIP CODE 1070 OLD SALEM ROAD GREENSBORO, GA 30642 (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING INFORMATION) {L 0000} >>>> The purpose of this review is to monitor COVID 19 cases and assess infection control processes.