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CMS Manual System

Dec 13, 2013 · CHANGES IN MANUAL INSTRUCTIONS: (N/A if manual not updated.) (R = REVISED, N = NEW, D = DELETED) – (Only One Per Row.) ... week (more than 40 hours a week), and that there be an RN designated as Director of Nursing on a full time basis. The regional office, acting on behalf of the Secretary, may

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