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PRINTED: 03/12/2021 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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Complaint in00347433 - unsubstantiated refers to a formal allegation or report that has not been proven or supported by factual evidence.
Typically, any individual or organization with knowledge of the alleged issue or harm is required to file this type of complaint.
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The purpose of this complaint is to formally document an allegation for review, investigation, and potential action by the relevant authority.
The complaint must include the complainant's contact information, a description of the incident, relevant dates, names of involved parties, and any supporting documentation.
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