Background Information

1. Is this state survey agency organized into district or regional offices?
(Click one)
1.
2. (Click here to go to question 4.)
3. (Click here to go to question 4.)

2. How many district or regional offices does this state survey agency have?

Please count state headquarters if it also functions as a district office for surveyors in that part of the state.
  Number of district or regional offices

3. Given that this state survey agency is organized into district or regional offices, how does it ensure that nursing home health surveyors in each office are citing deficiencies according to CMS guidelines?
(Check all that apply)
1.
2.
3.
4.
5.


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