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PRINTED: 06/23/2021 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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A complaint in00355442 - unsubstantiated refers to an issue or concern raised by a person or entity that has not been proven or supported by evidence.
The individual or organization experiencing the issue or concern is required to file a complaint in00355442 - unsubstantiated.
To fill out a complaint in00355442 - unsubstantiated, one must provide detailed information about the issue, any relevant evidence, and contact information for follow-up.
The purpose of a complaint in00355442 - unsubstantiated is to bring attention to a problem or issue in order to seek resolution or address it appropriately.
Information such as date and time of the incident, details of the issue, any witnesses, and any supporting documentation must be reported on a complaint in00355442 - unsubstantiated.
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