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05/27/2022PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Complaint in00369209 was determined to have sufficient evidence supporting the allegations made, leading to a substantiated conclusion.
Typically, individuals affected by the issue or designated representatives are required to file the complaint.
To fill out the complaint, complete the provided form with all necessary details, including personal information, nature of the complaint, and any supporting evidence.
The purpose of the complaint is to address and rectify issues that violate regulations or policies, ensuring accountability and resolution.
The report must include the complainant's details, specifics of the alleged violation, relevant dates, and any witnesses or evidence.
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