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PRINTED: 11/15/2018 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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The complaint in00277589 is classified as unsubstantiated, meaning it lacks sufficient evidence or basis to support the claims made.
Any individual or entity who has knowledge of the situation or incident that prompted the complaint can file it.
To fill out the complaint, gather relevant details, provide a clear description of the issue, and submit the required forms through the designated filing system.
The purpose of the complaint is to formally address a perceived issue or misconduct, even if the claims are ultimately unsubstantiated.
Information required includes the complainant's details, a description of the complaint, relevant dates, and any supporting evidence available.
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