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12/16/2019PRINTED: 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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Clearly describe the issue or incident that led to your complaint. Provide specific dates, times, and locations if possible.
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Complaint in00312136 - substantiated refers to a documented grievance or allegation that has been investigated and supported by evidence, indicating that the claim is valid.
Any individual or entity who believes they have been wronged or affected by the issue addressed in complaint in00312136 is required to file the complaint.
To fill out complaint in00312136 - substantiated, one must complete the designated complaint form with relevant personal details, describe the incident, provide supporting evidence, and submit it to the appropriate authority.
The purpose of complaint in00312136 - substantiated is to bring attention to an issue, seek resolution, and ensure accountability for actions or behaviors that violate established rules or regulations.
The complaint must include the complainant's contact information, a detailed description of the issue, any supporting documentation or evidence, and the desired outcome or resolution.
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