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PRINTED: 10/21/2019 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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A complaint in00307943- substantiated refers to a formal report or statement made regarding a particular issue or concern that has been proven to be true.
The individual or entity who has knowledge of the substantiated issue is required to file the complaint in00307943- substantiated.
To fill out a complaint in00307943- substantiated, one must provide detailed information about the substantiated issue, including relevant facts, evidence, and any supporting documentation.
The purpose of a complaint in00307943- substantiated is to formally document and address a substantiated issue or concern in a structured and organized manner.
On a complaint in00307943- substantiated, one must report essential details such as the nature of the issue, individuals involved, date of occurrence, and any relevant background information.
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