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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES ADMISSION SAMPLE RECORD REVIEW Facility Name:
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Document Date: 2014-11-18 12:13:18


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City

Facility / Slough / Resident / /

Facility

Facility ID / /

MedicalCondition

pressure ulcer / blood-filled blister / Suspected deep tissue injury / open/ruptured blister / Deep Tissue Injury / pressure ulcers / skin ulcer / /

MedicalTreatment

elective surgery / /

Organization

DEPARTMENT OF HEALTH AND HUMAN SERVICES / MEDICARE / /

Position

Surveyor / /

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