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PRINTED: 07/26/2019 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Form investigation of complaint is a formal document where individuals can lodge complaints against a person or entity for investigation.
Any individual who wants to report a complaint and have it investigated is required to file form investigation of complaint.
Form investigation of complaint can be filled out by providing all relevant information regarding the complaint in the designated fields.
The purpose of form investigation of complaint is to document and investigate complaints in a formal and organized manner.
Information that must be reported on form investigation of complaint includes details of the complaint, date and time of incident, names of individuals involved, and any supporting documentation.
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