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Plan Of Correction PRINTED: 02/19/2021 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:BLOSSOM COMMUNITY

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How to fill out a complaint and follow-up

01

Begin by clearly identifying the issue or problem that you are filing a complaint about.

02

Provide specific details such as dates, times, and individuals involved in the situation.

03

Clearly state your desired outcome or resolution to the complaint.

04

Follow any specific instructions or guidelines provided by the organization receiving the complaint.

05

Keep track of any communication or responses related to the complaint for future reference.

Who needs a complaint and follow-up?

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Anyone who has experienced a negative situation or issue with a product, service, or organization may need to file a complaint and follow-up to seek resolution.

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What is a complaint and follow-up?

A complaint and follow-up is a formal process of reporting an issue or concern, and staying updated on the progress of addressing that issue.

Who is required to file a complaint and follow-up?

Anyone who has a concern or issue that needs to be addressed is required to file a complaint and follow-up.

How to fill out a complaint and follow-up?

Fill out the necessary forms with detailed information about the issue, provide any supporting documents or evidence, and submit it to the appropriate authority.

What is the purpose of a complaint and follow-up?

The purpose of a complaint and follow-up is to address and resolve issues or concerns in a timely manner.

What information must be reported on a complaint and follow-up?

Information such as the nature of the issue, date and time of occurrence, location, any witnesses, and any other relevant details.

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