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PRINTED: 10/06/2022 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 systematic collection of data to understand and analyze a specific situation or issue.
Typically, individuals or organizations involved in the subject of the investigation, or those who have relevant information, are required to file the survey.
To fill out the investigation survey, follow the instructions provided, complete all required sections accurately, and submit by the specified deadline.
The purpose of the investigation survey is to gather evidence, understand the context, and provide insights for decision-making or further action.
Information such as background details, relevant facts, observations, and findings related to the investigation must be reported.
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