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PRINTED: 09/06/2018 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 in00268650 - substantiated is an official document submitted to report a confirmed issue or problem.
The individual or organization directly impacted by the substantiated complaint is required to file it.
To fill out a complaint in00268650 - substantiated, provide detailed information about the issue, any evidence or documentation related to it, and contact information.
The purpose of a complaint in00268650 - substantiated is to formally document and address a confirmed problem or concern.
On a complaint in00268650 - substantiated, information such as the nature of the issue, date and time of occurrence, individuals involved, and any supporting evidence must be reported.
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