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PRINTED: 05/14/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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The dates of survey 43018 refer to the specific dates during which a survey was conducted.

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The individuals or organizations who conducted the survey are required to file the dates of survey 43018.

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To fill out the dates of survey 43018, one should provide the start and end dates of the survey period.

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The dates of survey 43018 must include the start and end dates of the survey period.

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