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PRINTED: 03/31/2022 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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What is complaint in00372860 completed on?

The complaint in00372860 was completed on January 15, 2022.

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The complainant who experienced the issue is required to file the complaint in00372860.

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To fill out the complaint in00372860, the complainant needs to provide detailed information about the issue they faced, along with any supporting evidence.

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On the complaint in00372860, the complainant must report the date and time of the issue, any individuals involved, and a detailed description of what happened.

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