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02/28/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Complaint in00284455- substantiated is a formal expression of dissatisfaction or grievance that has been proven to be valid.
The individual, organization, or entity who has experienced the issue or problem addressed in the complaint is required to file complaint in00284455- substantiated.
To fill out complaint in00284455- substantiated, one must provide specific details of the issue, evidence or documentation supporting the claim, and contact information for follow-up.
The purpose of complaint in00284455- substantiated is to address and resolve the confirmed issue or problem, and to prevent similar incidents in the future.
The information reported on complaint in00284455- substantiated must include details of the incident, names of individuals involved, dates and times of occurrence, and any supporting evidence.
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