Total Percent Medicare Patients5 (100%) January 2011 Total Patients5 (97%)
(Based on data for Medicare Part B in 2009)
(Percentage includes percentages from the three prior quarters.)
(Percentage includes percentages from the three prior quarters.)
(Percentage includes percentages from the three prior quarters.)
(Percentage includes percentages from the three prior quarters.)
(Percentage includes percentages from the three prior quarters.)
(Percentage includes percentages from the three prior quarters.)
(Percentage includes percentages from the three prior quarters.)
(Percentage includes percentages from the three prior quarters.
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Nursing Facility Quality Assessment Payment Reporting Form Facility Days of Care for State Fiscal Quarter 3, FY12 (January 2012-March 2012) M.A. Provider #: Facility Name: Contact Person: 0 0 (PROV
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