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PRINTED: 10/30/2017
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 in00242793 - unsubstantiated must include details about the incident, individuals involved, date and time of occurrence, and any supporting documentation.
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