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PRINTED: 03/27/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Complaint in00225323- unsubstantiated refers to a formal complaint that has been evaluated and found to lack sufficient evidence to support the claims made.
Individuals or entities who believe they have been wronged or affected by the subject matter of the complaint are typically required to file this complaint.
To fill out the complaint, one must provide relevant personal information, details of the incident, supporting evidence, and the desired outcome or resolution.
The purpose of the complaint is to formally document an issue or grievance and seek resolution or investigation into the matter.
The complaint must report the complainant's contact information, a detailed description of the issue, relevant dates, and any evidence to support the claim.
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