Nov 2024 Jodi Nursing Home Survey

Please answer the following questions about your most recent Skilled Nursing Facility survey.

1. Please select the date of your most recent survey. This question requires a valid date format of MM/DD/YYYY.

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2. Select the type of survey conducted.

3. Select the area of concern.

4. Please provide any additional information about the problem.

5. Enter your full name (first and last).

6. Enter the name of your organization.

7. Enter your email address. This question requires a valid email address.