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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15574209/08/2017FORM

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To fill out the survey date 081717, follow these steps:

02

Start by opening the survey form

03

Look for the field labeled 'Date'

04

Enter the date as '081717' in the format 'MMDDYY'

05

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06

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Who needs survey date 081717?

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The individuals who need to fill out the survey date 081717 are those who have been assigned to complete this specific survey. The date '081717' indicates the target survey date for which the responses are required.

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What is survey date 081717?

Survey date 081717 refers to the specific date of August 17, 2017.

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Any individual or entity who falls under the requirements set forth by survey date 081717 is required to file.

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Survey date 081717 must be filled out according to the instructions provided by the governing body or organization.

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The purpose of survey date 081717 is to gather specific information or data for analysis or compliance purposes.

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The specific information that must be reported on survey date 081717 will vary depending on the requirements set forth.

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