Form preview

Get the free And updates This list is to be updated semiannually in

Get Form
Skilled Nursing Facilities * Received four and five rating by CMS * Average readmissions 30% *Falls with major injury State Avg * New/Worse Pressure Understate Avg CMS star rating verified 01/18/2016
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign and updates this list

Edit
Edit your and updates this list form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your and updates this list form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing and updates this list online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Sign into your account. It's time to start your free trial.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit and updates this list. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
It's easier to work with documents with pdfFiller than you could have ever thought. You can sign up for an account to see for yourself.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
42 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

This list is a compilation of information that needs to be regularly updated and maintained.
Anyone responsible for the information included in the list is required to update it regularly.
The list can be updated by entering new information and removing outdated information in the designated format.
The purpose of updating this list is to ensure that the information is accurate and up to date for reference.
Information such as names, contact details, and any relevant updates need to be reported on this list.
You can quickly improve your document management and form preparation by integrating pdfFiller with Google Docs so that you can create, edit and sign documents directly from your Google Drive. The add-on enables you to transform your and updates this list into a dynamic fillable form that you can manage and eSign from any internet-connected device.
Use the pdfFiller mobile app to fill out and sign and updates this list on your phone or tablet. Visit our website to learn more about our mobile apps, how they work, and how to get started.
Install the pdfFiller app on your iOS device to fill out papers. If you have a subscription to the service, create an account or log in to an existing one. After completing the registration process, upload your and updates this list. You may now use pdfFiller's advanced features, such as adding fillable fields and eSigning documents, and accessing them from any device, wherever you are.
Fill out your and updates this list online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.