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PRINTED: 07/22/2019 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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Survey date 041519 refers to the date of a specific survey that was conducted on April 15, 2019.
All participants who were involved in the survey on April 15, 2019 are required to file the survey.
To fill out the survey date 041519, participants must provide accurate information based on the specific questions asked.
The purpose of survey date 041519 was to gather data and information on a specific topic on April 15, 2019.
Participants must report information relevant to the survey questions and topics covered on April 15, 2019.
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