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PRINTED: 02/26/2019
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 022119?
Survey date 022119 refers to the date of the survey being conducted on February 21, 2019.
Who is required to file survey date 022119?
All individuals or entities who were included in the survey conducted on February 21, 2019 are required to file the survey.
How to fill out survey date 022119?
To fill out survey date 022119, individuals or entities must provide accurate information based on the survey conducted on February 21, 2019.
What is the purpose of survey date 022119?
The purpose of survey date 022119 is to gather specific data and information related to the survey conducted on February 21, 2019.
What information must be reported on survey date 022119?
The information to be reported on survey date 022119 may include demographic data, responses to survey questions, and any other relevant details obtained from the survey conducted on February 21, 2019.
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