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PRINTED: 07/09/2019 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:CROWNPOINTE OF LEBANON (X4) ID
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The form investigation of complaint is a document used to formally report and initiate an investigation into a specific complaint or issue within an organization or regulatory framework.
Typically, individuals or entities who have experienced or witnessed a violation, complaint, or misconduct are required to file the form investigation of complaint.
To fill out the form investigation of complaint, provide accurate details about the incident, including the date, time, individuals involved, and a comprehensive description of the complaint.
The purpose of the form investigation of complaint is to formally document and initiate a review of the complaint to determine any necessary actions or resolutions.
Information that must be reported includes the complainant's details, description of the complaint, supporting evidence, and any applicable dates and locations related to the incident.
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