Form Cms-3070g - Intermediate Care Facilities For Individuals With Intellectual Disabilities Survey Report Page 3

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INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
SURVEY REPORT
M. ALLEGATIONS OF ABUSE AND NEGLECT
No. of allegations of
abuse investigated (a)
W68
No. of allegations of
neglect investigated (b)
W69
Total:
W70
N. NUMBER OF DEATHS
No. of deaths related to
unusual incidents (a)
W71
No. of deaths related to
restraints (b)
W72
No. of deaths for any
reason (c)
W73
Total:
W74
FORM CMS-3070G (03/13)
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