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Notes FORM CMS-20050 06/07 B Resident Observation Choices QP234 1 Are you able to participate in making decisions regarding food choices/ preferences No Yes skip to 3 2 Is this acceptable to you Yes 3 Do you participate in choosing your bedtime up 7 Do you choose your dressing and bath schedule Cleanliness/Grooming/Oral QP075 QP216 1 Based on general observations did you see any of the following Mark all that apply a Unpleasant body odor other th.

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