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PRINTED: 09/13/2022 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 in00389361 is considered unsubstantiated due to a lack of sufficient evidence to support the allegations made.
Any individual or entity who believes they have been wronged and meets the criteria set forth for filing complaints is required to file this complaint.
To fill out the complaint, you must follow the guidelines provided on the official form, ensuring all required fields are completed accurately and thoroughly.
The purpose of the complaint is to formally document grievances and provide a platform for investigative review, even if it is deemed unsubstantiated.
The reported information must include the complainant's details, a clear description of the complaint, relevant dates, and any supporting evidence.
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