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PRINTED: 09/24/2021 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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Form investigation of complaints is a document used to gather information regarding a reported complaint in order to determine the cause and potential resolution.
Any individual or organization involved in the reported complaint may be required to file the form investigation of complaints.
The form investigation of complaints can be filled out by providing detailed information regarding the complaint, including the parties involved, the nature of the complaint, and any supporting evidence.
The purpose of form investigation of complaints is to gather information to investigate and address reported complaints in an organized and systematic manner.
The information that must be reported on form investigation of complaints includes details of the complaint, parties involved, timeline of events, any supporting documentation, and proposed resolution.
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