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Revision History for LTC Survey process documents and Files This document will identify revisions made to documents and files that are related to the LTC Survey process . The revisions will be grouped by effective date. Effective Date document /File Name Description of Change 05/09/2022 Survey Resources with Staff Vaccine documents Folder Updated: 1. F Tag Waiver Guide 2. Appendix PP added 2018 revision 3. Appendix Z added 2021 version 4. Chapter 7 added 2018 version 5. Mapping document -Streamlined 04/26/2022 Survey Resources with Staff Vaccine documents Folder Updated: 1. Staff Formula for F888 2. Staff Matrix for F888 3. LTCSP Complaints Guide 4. Entrance Conference Worksheet 5. FIC Folder (Staff Formula for F888, Staff Matrix for F888) 04/07/22 Survey Resources with Staff Vaccine documents Folder Updated: 1. FIC folder (FIC Survey Protocol, FIC Survey Entrance Conference Worksheet, CMS 20054-Infection Prevention Control and Immunization, QSO-20-39-NH Revised, QSO-20-38-NH Revised, Staff Matrix for F888 only) 2.

Revision History for LTC Survey Process Documents and Files This document will identify revisions made to documents and files that are related to the LTC Survey Process. The revisions will be grouped by effective date. Effective Date Document/File Name Description of Change . 9 /14/2021 . Survey Resource Folder

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