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PRINTED: 06/29/2017 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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Complaint in00233375 - unsubstantiated refers to a formal grievance that has been examined but found to lack sufficient evidence to warrant further action or resolution.
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To fill out complaint in00233375 - unsubstantiated, obtain the official complaint form, provide detailed information regarding the nature of the complaint, include supporting documentation, and submit it to the designated authority.
The purpose of complaint in00233375 - unsubstantiated is to formally document grievances and concerns, which can help organizations identify areas for improvement, even if the complaint does not meet the threshold for actions.
The complaint must report the details of the incident, including dates, places, individuals involved, nature of the complaint, and any evidence supporting the claim.
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