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PRINTED: 08/20/2020
FORM APPROVEDDivision of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION NUMBER:APPLEWOOD FACILITY
(X4) ID
PREFIX
TAG.
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What is a complaint survey was?
A complaint survey is a form used to report feedback or grievances about a product, service, or experience.
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What information must be reported on a complaint survey was?
Typically, the survey will ask for details about the issue, the date it occurred, and contact information for follow-up.
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