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PRINTED: 09/21/2023 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 approach used to collect data and information to assess a particular situation, issue, or concern, often to understand its scope and implications.

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Information typically required includes the nature of the investigation, relevant data, participant details, findings, and any actions taken or proposed based on the survey.

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