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PRINTED: 06/30/2022 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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An investigation survey is a detailed examination or inquiry carried out to gather information and facts.
The parties involved in the investigation or those conducting the investigation may be required to file the survey.
The survey should be filled out with accurate and thorough information related to the investigation, including details about the parties involved, the nature of the investigation, and any findings or conclusions.
The purpose of the investigation survey is to document and analyze the results of an investigation, in order to provide a comprehensive and reliable record of the findings.
Information such as the date of the investigation, the location, the individuals involved, the methodology used, and the conclusions reached should be reported.
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