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01/11/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION

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Survey date 121422 refers to a specific date, December 14, 2022, when a survey or assessment was conducted.

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The purpose of survey date 121422 is to gather data and insights on a specific topic to inform decision-making or assess outcomes.

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Information that must be reported on survey date 121422 includes demographic data, responses to survey questions, and any relevant observations related to the survey's focus.

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