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Get Cms 802 Blank Form

Ple Matrix form (CMS-802 ) is used by the facility to list all current residents (including residents on bedhold) and to note pertinent care categories. The facility completes the following: resident name, resident room, and columns 6 33, which are described below. All remaining columns are for Surveyor Use Only. There is not a federal requirement for automation of Form CMS-802. The facility may continue manual coding of Form CMS-802. The facility may use MDS data to provide a "worksheet" of t.

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