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PRINTED: 02/19/2021 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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What is survey date 021721?

Survey date 021721 refers to the date of a specific survey conducted on February 17, 2021.

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Information such as demographic data, survey responses, or any other data relevant to the survey being conducted must be reported on survey date 021721.

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