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PRINTED: 11/10/2022 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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Complaint in00393736 - unsubstantiated is a formal statement filed by an individual regarding an issue or concern that lacks evidence to support it.
Any individual who has a concern or issue that they believe needs to be addressed but lacks evidence to substantiate it is required to file a complaint in00393736 - unsubstantiated.
To fill out a complaint in00393736 - unsubstantiated, the individual needs to provide detailed information about the concern or issue, even if it lacks substantiating evidence.
The purpose of a complaint in00393736 - unsubstantiated is to bring attention to an issue or concern, even if there is no supporting evidence, in order for it to be addressed appropriately.
The information reported on a complaint in00393736 - unsubstantiated should include details of the concern or issue, any relevant background information, and the impact it has.
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