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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:15529008/20/2015FORM

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Anyone who is required or interested in providing feedback or information for the specific date, July 28, needs to fill out the survey. This can include employees, customers, users, participants, or any individuals who have been requested to complete the survey for that particular date.

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Survey dates July 28 refers to the specific dates designated for conducting a survey on or around July 28th.

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Individuals or organizations who are selected to participate in the survey on July 28th are required to file the necessary information.

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Participants must report any relevant information or responses requested in the survey materials provided for the July 28th date.

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