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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:15507606/04/2015FORM
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Start by accessing the survey form online or receiving a physical copy.
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Read through the instructions and understand the purpose of the survey.
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Locate the section where you need to enter the date and find the specific field labeled 'Survey Date' or similar.
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Take note of the date format required (e.g., YYYY-MM-DD or DD/MM/YYYY) and make sure you have the necessary information.
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Enter the survey date in the designated field using the specified format.
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Double-check your entry for accuracy and ensure it matches the intended date.
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Survey date 051115 refers to a specific date for which a survey or report is collected, typically indicated as May 11, 2015.
Entities or individuals specified by regulatory authorities that are involved in activities relevant to the survey are required to file for survey date 051115.
To fill out survey date 051115, the required forms must be completed accurately, providing all necessary data related to the survey specifics and following the guidelines provided by the issuing authority.
The purpose of survey date 051115 is to collect data necessary for analysis, compliance, or monitoring by regulatory bodies.
Information that must be reported includes demographic data, operational metrics, financial information, and any other data points specified in the filing instructions.
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