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PRINTED: 04/26/2018 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 used to report and investigate complaints filed by individuals or organizations.
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The purpose of form investigation of complaint is to formally document and investigate complaints in order to resolve issues and prevent future occurrences.
Information such as description of the complaint, date of incident, individuals involved, and any supporting documents or evidence must be reported on form investigation of complaint.
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