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PRINTED: 05/23/2018 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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Form investigation of complaints is a document used to formally report and address complaints within an organization.
Any individual who has a complaint that needs to be investigated is required to file form investigation of complaints.
Form investigation of complaints can usually be filled out by providing details of the complaint, relevant dates, names of involved parties, and any supporting evidence.
The purpose of form investigation of complaints is to address and resolve complaints in a fair and systematic manner.
Information such as details of the complaint, names of involved parties, dates, and supporting evidence must be reported on the form.
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